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COPYRIGHT DEPOSIT. 



HAND-BOOK 



MODERN TREATMENT 



Medical Fokmtjlary 



A CONDENSED AND COMPREHENSIVE MANUAL 

OF PRACTICAL FORMULAE AND GENERAL 

REMEDIAL MEASURES 



COMPILED BY 



W. B. £JAMPBELL, M.D. 

Foemerly Resident Physician at the Methodist Episcopal Hospital 
of Philadelphia 



THIRD REVISED EDITION 




PHILADELPHIA : 
F. A. DAVIS COMPANY, Publishers 

1912 






COPYRIGHT, 1908 

COPYRIGHT, 1910 

COPYRIGHT, December, 1911 

BY 

F. A. DAVIS COMPANY 



[Registered at Stationers' Hall, London, Eng.] 



Philadelphia, Pa., U. S. A. 

Press of F. A. Davis Company 

1914-16 Cherry Street 






"\ \ 



©CU303G26 






PEEFAOE TO THIED EDITION. 



Within a year of the publication of the second edition, 
another call has been made for this work. And in a work so 
important as this the publishers have felt that the text and 
especially the prescriptions should be carefully revised again. 
This has recently been accomplished, minor errors corrected, 
and omissions supplied. 

The demand for three large editions in three years is a 
gratifying indication that the volume continues to give useful 
service to the general practitioner. 

The Publishers. 



(iii) 



PKEFACE TO FIEST EDITION. 



The subject matter of the "Hand-Book of Modern Treat- 
ment" has been gathered from the results obtained by medical 
men of wide and ripe experience. It is hoped that it will serve 
as a ready reference book to the busy physician. 

Diseases are arranged alphabetically, and the prescriptions, 
which have proved most gratifying in results secured, are ar- 
ranged under the diseases for which prescribed, and in this way 
the use of the Hand-Book is facilitated. 

A feature of the work, to which the attention of the pro- 
fession is directed particularly, is the clinical hints and sug- 
gestions scattered through its pages. This feature will, it is 
believed, add greatly to its value and usefulness to the busy 
physician. 

The prescriptions designated contain the drugs used in the 
forms favored by those who are in the front rank in the study 
of remedial measures for the cure of disease. 

Its use in busy moments and its careful perusal in leisure 
hours will add to the practitioner's efficiency and usefulness. 

W. B. C. 

5107 Wayne Avenue, Germantown, 
Philadelphia, Pa. 



(IT) 



CONTENTS. 



Diseases or Digestive System. 

Diseases of the Mouth, Tonsils and Larynx. pagf 

Pharyngitis 336, 431 

Quinsy 377 

Stomatitis 405 

Aphthous 34, 406 

Foetor of Breath 177 

Gingivitis 210 

Mercurial 406 

Mouth Wash 301 

Ptyalism 371 

Smoker's 406 

Tonsillitis 427 

Diseases of the Stomach. 

Acidity 4 

Acute Gastritis 203 

Anorexia 32 

Biliousness 54 

Chronic Gastritis 205 

Dyspepsia 144 

Gastralgia 199 

Gastric Catarrh , 77 

Gastric Cancer 202 

Gastric Ulcer 201, 207 

Gastro-Enteritis 204, 205 

Hamiatemesis 224 

Hyperacidity 249 

Pyrosis 375 

Seasickness 400 

Sub-acute Gastric Catarrh 206 

Vomiting 465 

Diseases of the Intestines. 

Anal Fissure 24. 191, 193 

Appendicitis 38 

Cholera Infantum 87 

Cholera Morbus 88 

Constipation 97 

Diarrhoea 127, 131 

Dysentery 139 

Enteralgia 163 

Enteritis 163 

Flatulence 193 

■ (v) 



v i CONTENTS. 

PAGE 

Haemorrhoids 240 

Infantile Colic 92 

Intestinal Colic 94 

Intussusception 265 

Lead Colic 94 

Piles 344 

Tape Worm 420 

Trichinosis 438 

Tympanites 443 

Worms 39, 479 

Diseases of the Liver. 

Gall Stone Colic 198 

Hepatic Cirrhosis 245 

Hepatic Colic 71 

Hepatitis 246 

Jaundice 267 

Diseases of the Peritoneum. 

Dropsy and Ascites 138 

Peritonitis 334 

Tubercular Peritonitis 333, 336 



Diseases of the Kidneys and Genito-Urinaey Organs. 

Acute Nephritis 305 

Chordee 89 

Chronic Interstitial Nephritis 306 

Diuretic and Diaphoretic 134 

Enuresis 165 

Epididymitis and Orchitis 167, 323 

Hematuria 226 

Impotence 251 

Incontinence 257 

Oxaluria 327 

Prostatitis 361 

Pyelitis and Cystitis 112, 374 

Penal and Vesical Calculi 72 

Retention of Urine 380, 452 

Satyriasis 394 

Seminal Emissions 160 

Spermatorrhoea 404 

Strangury 406 

Uraemia 449 

Uric Acid Diathesis 451 



Diseases of the Blood and Ductless Glands. 

Addison's Disease 8 

Adenitis . 8 

Anaemia 22 

Chlorosis 22 



CONTENTS. vii 

PAGE 

Cretinism 110 

Glands Enlarged and Inflamed 208 

Goiter 210 

Leukemia 277 

Mvxoedema 305 

Purpura 373 

Diseases of the Respiratory System. 
Diseases of the Nose and Throat. 

Coryza and Cough 105 

Diphtheria 136 

Epistaxis 171 

Laryngitis 273 

Nasal Catarrh 79 

Ozama 328 

Spasmodic Croup 110, 272 

Diseases of the Lungs. 

Asthma 42 

Bronchial Asthma 43 

Bronchitis 62 

Bronchorrhoea 65 

Emphysema 65, 160 

Hamiatemesis 224 

Haemoptysis 227 

Hay Fever Asthma 29 

Phthisis 340 

Pneumonia . 348 

Pulmonary Dyspnoea 147 

Tuberculosis 439 

Diseases of the Pleura. 

Emphysema 65, 160 

Pleurisy 345 

Diseases of Eye and Ear. 

Blepharitis 58 

Conjunctivitis 95 

Earache 149 

Glaucoma 210 

Interstitial Keratitis 269 

Iritis 265 

Otitis and Otorrhoera 324 

Phlyctenular Keratitis 269 

Scleritis 398 

Tinnitus Aurium 427 

Ulcerative Keratitis 270 

Acute Infectious Diseases. 

Anthrax 33 

Bubo 67 



Viii CONTENTS. 

PAGE 

Bubonic Plague 67 

Cholera 86 

Dysentery 139 

Erysipelas 173 

Fever 178 

Gonorrhoeal Infection 214 

Hydrophobia 249 

Influenza 259 

Intermittent Fever 179 

Malarial Fever 179 

Measles 187, 291 

Mumps . 303 

Pertussis 473 

Pneumonia 348 

Relapsing Fever 184 

Remittent Fever 179 

Rheumatic Fever 381 

Scarlet Fever 187 

Septicemia and Pyemia 373 

Small Pox 401 

Syphilis 412 

Tetanus 422 

Tuberculosis 439 

Typhoid Fever 187 

Typhus Fever 190 

Varicella 461 

Yellow Fever 191 



Diseases of Circulatory System. 

Aneurysm 28 

Angina Pectoris 29 

Cardiac Asthma 46 

Cardiac Dyspnoea 147 

Endocarditis 161 

Palpitation 330 

Pericarditis 333 



Diseases of Nutrition. 

Arthritis 381 

Asthenia 41 

Chronic Rheumatism 390 

Debility 116 

Diabetes Insipidus 120 

Diabetes Mellitus 121 

Gout 221 

Marasmus 289 

Myalgia 304, 395 

Obesity 318 

Rickets 378 

Scrofula 298 

Scurvy '. 399 



CONTENTS. ix 
Diseases Due to Intoxications. 

PAGE 

Alcoholism 12 

Bites and Stings 56, 379 

Chronic Alcoholism 117 

Lead Poisoning 275 

Opium Habit 323 

Poisoning 355 

Diseases of Women. 

After Pains 10 

Agalactia 11 

Amenorrhea 20 

Cancer of Uterus % 72 

Dysmenorrhea 142 

Fissure of Nipples 191 

Labor 271 

Leuchorrhoea 278 

Mammary Inflammation 287 

Menopause 294 

Menorrhagia and Metrorrhagia 295 

Metritis 298 

Morning Sickness 465 

Nymphomania 318 

Phlegmasia Albadolens 339 

Puerperal Convulsions 373 

Sore Nipples 316 

Vaginismus 458 

Vaginitis 459 

Varicose Veins 462 

Vulvitis 469 



Diseases of the Nervous System. 

Acute Mania 288 

Anaesthesia 25 

Chorea . 90 

Coma or Apoplexy 37 

Convulsions 102 

Epilepsy 168 

Headache 231 

Hysteria 254 

Insomnia 262, 469 

Locomotor Ataxia 282 

Melancholia 292 

Meningitis 293 

Neuralgia 309 

Neurasthenia 313 

Neuritis 315 

Paralysis 331 

Paralysis Agitans 332 

Sciatica 395 

Shock 400 

Tabes 419 

Tetanus 422 



CONTENTS. 

PAGE 

Toothache 436 

Trismus 439 

Vertigo 462 

Diseases of the Skin and Its Appendages. 

Abscess 2 

Acne 4 

Alopecia 14 

Alopecia Areata 17 

Bed Sores 53 

Boils 59 

Bromidrosis 61 

Bunions • 68 

Burns and Scalds 68 

Carbuncle 75 

Caries 73 

Chancre 81 

Chancroids 82 

Chapped Hands and Lips 83 

Chilblains 84 

Chloasma 85 

Condylomata — Warts 71, 471 

Corns 103 

Dandruff 115 

Dermatitis 119 

Ecthyma 152 

Eczema 152 

Favus 175 

Felon 176 

Frost Bite 195 

Furuncle 196 

Herpes 246 

Ichthyosis 255 

Impetigo 255 

Intertrigo 264 

Keloids 268 

Lentigo 276 

Lupus 286 

Narvi 305 

(Edema 320 

Onychia 321 

Pediculosis 281 

Pemphigus 332 

Phagedena 336 

Prickly Heat 359 

Prurigo 363 

Pruritis 368 

Psoriasis 369 

Ring Worm 392 

Rupia 393 

Scabies— Itch 267, 394 

Stye 407 

Sweating 252, 408 

Sycosis 410 

Tinea Tonsurans 426 



CONTENTS. x i 

PAGE 

Tinea Versicolor 426 

Ulcer 445 

Wounds 480 



Diseases Unclassified. 

Bladder Affections 56 

Dentition 118 

Gangrene 199 

Hiccoughs 241 

Hydrocephalus 249 

Ingrowing Toe Nail 261 

Periostitis 333 

Synovitis 411 



Tkeatments. 

Alteratives 18 

Baths 51 

Enemata 162 

Hair Tonics 228 

Hypnotics ; . 251 

Koumiss 270 

Tonics .... 423 



HAND-BOOK 

OF 

MODERN TREATMENT. 



ABDOMINAL OPERATIONS. 

High rectal injections of normal salt solution are the best 
means of combating excessive thirst after abdominal operations. 
Washing out the stomach just before the patient awakens from 
anaesthesia has a happy effect in preventing, to a great extent, 
the nausea following ether. Continuous saline proctoclysis con- 
stitutes the leading part of the Murphy treatment for septic 
peritonitis, drainage being used to eliminate the toxins in the 
peritoneal cavity. 

ABORTION. 

POTASSIUM IODIDE IN THREATENED ABORTION. 

Montgomery urges the use of potassium iodide in the prophy- 
laxis of threatened abortion, even when the question of syphilis is 
in doubt. He believes that it is one of the most effective reme- 
dies in decreasing the irritability of the uterine mucous mem- 
brane. In this connection he says: "I have seen many pa- 
tients in whom it is impossible to elicit any indication of syph- 
ilis, who have done well and carried the foetus to full term upon 
the use of iodide of potash. So much good have I seen from the 
use of this drug that it is now my custom, in every case of 
irritable uterus where abortion is feared, to place the patient 
upon the use of iodide, 5 grains three times a day, given in water 
after meals. In cases in which sclerosis or areolar hyperplasia 
of the uterus has occurred, I know of no plan of treatment which 
will insure a woman the completion of her pregnancy." 

Morphine, gr. ss-% or j, as needed, will 
quiet a contracting uterus. Follow with bro- 
mide, gr. xv, every three hours, and fluidextract 
of viburnum prunifolium, 3j every three hours, 
for several days. The patient must rest in bed. 

(i) 



2 Hand-Book of Modern Treatment. 

ABSCESS. 

M. Porosz, of ' Budapest, claims that if any one has once 
used a 2- to 5-per-cent. solution of nitric acid in treatment of 
abscesses and buboes he will never treat them in any other way. 
as the effects are so satisfactory. He first evacuates the pus 
and then injects the solution with a urethral syringe as forcibly 
as possible. The abscess-cavity becomes distended with the fluid. 
which penetrates into every crevice and seems to stimulate the 
tissues in their work of repair after the germs in the lesion are 
killed by the action of the acid. In very deep buboes it may be 
necessary to repeat the injection daily, but healing is usually 
complete after two injections. The severest cases all healed ir 
a week in his experience. 

IJ Phenolis, 3j. 
Glycerini, fSiiss. 

Misce. 

Sig. : Inject a few drops into the painful 
and inflamed area. 

Indication : To abort abscess in early stage. 

I£ Aquae hydrogenii dioxidi, fgiv. 

Sig. : Inject in cavity and syringe out. 

Indication: To be used after incisions and 
when pus collects. Peroxide is dangerous in 
deep cavities, as the effervescence forces the 
germs deeper into the tissues. Its best use is 
on the surface. 

F£ Liquoris plumbi subacetatis, f5j. 
Tincturse opii, f^j. 

Misce. 

Sig. : Add to water one quart and apply 
to parts on cloth compress. 

Indication: Used to decrease pain in the 
acute stages. 

B Calcis sulphuratse, gr. xij. 

Fiant pilulse no. xlviij. 

Sig. : One pill every three or four hours, 
followed by a draught of water. 

Indication: To abort in early stages of in- 
flammation. 



Hand-Book of Modern Treatment. 



AOETOZONE. 

Klinedinst reports a case of infected corneal traumatism in 
which this agent was used with marked success. He has been 
surprised by the rapid manner in which acetozone controls bac- 
terial infection and thinks that the ophthalmic surgeon has in 
this agent a germicide which is at once safe and more power- 
ful than any other known. The solution of 1 grain to 2 fluid- 
ounces is strong enough for the eye, though a stronger solution 
did not seem to do any permanent harm, and only caused 
greater temporary burning and pain. 

ACETOZONE IN MINOR SURGERY. 

Dr. James Burnett publishes some notes concerning 
his experience with acetozone in chancroid, abscess, and 
lacerated wound. The chancroid was dusted twice daily 
with acetozone, 2 parts, and powdered talc, 98 parts.' The 
abscess was opened and its cavity washed out with aqueous 
solution of acetozone (2 1 / 2 grains to 4 ounces). It was 
dressed with lint wrung out of the solution and covered with 
gutta-percha tissue. A severely crushed finger with fracture 
of the terminal phalanx was thoroughly washed with acetozone 
solution and occasionally poulticed for a few days, when the 
parts were powdered with acetozone and zinc oxide. The 
author concludes: "Though acetozone is perhaps mainly 
available in surgical conditions, there is no reason why it 
should not prove serviceable in medical diseases. Already it 
has been found helpful in typhoid, and I fancy that in tuber- 
culous enteritis, in cholera, and in dysentery it may prove of 
some value. Again, in puerperal septicaemia I think its use 
would be preferable to that of perchloride, owing to its nontoxic 
nature. Its administration internally may be by means of cap- 
sules containing 3 grains. In this form I would suggest its 
trial in cases of chronic gastric catarrh with much fermentation." 



Hand-Book of Modern Treatment. 



ACIDITY. 

]$ Bismuthi subnit., 3iij. 

Acidi carbolici, gtt. ij-v. 

Mucil. acacise, §.j. 

Aquse menth. pip., 3iij. 
Misce. 

Sig. : Tablespoonful three or four times a 
day. 

I£ Sodii bicarbonatis, 3ij. 

Spts. ammon. aromat., 3ij. 

Tr. zingiberis, §j. 

Infus. gentianse, q. s. ad Sviij. 
Misce. 
Sig. : Tablespoonful two or three times daily. 

I£ Cerii oxalatis, 3j. 
Fiant pilulse no. xxx. 
Sig. : One every four hours. 

1^ Liq. potassii hydroxidi, 3iij. 
Sig. : Fifteen minims well dilated in water 
three times daily. 

Ifc Aquse creosoti, f3vj. 

Sodii bicarbonatis, 3j. 

Mistui'83 cretge, q. s. ad Biij- 
Misce. 
Sig. : Two teaspoonfuls three times a day. 

1^ Sodii bicarbonatis, 3ij. 

Tinct. gentian 83 comp., Biss. 

Aquas, q. s. ad §.vj. 
Misce. 
Sig. : Two tablespoonfuls three times daily. 

ACNE. 

ACNE ROSACEA. 

Dr. John C. Kommel states that the treatment is threefold , 
as follows : 1. Hygienic. If possible, avoiding hot, dusty work- 
shops; regularity of living, fresh outdoor air, avoidance of 
worriment, etc. 2. Dietetic. Avoid rich, short, larded pastries; 
hard-fried meats, cheese, pork, greasy gravies, alcohol, etc. Eat 
plain food, boiled or baked, daintily seasoned (not overseasoned) ; 
only small quantities of tea and coffee; no tobacco. A gentle 
laxative should be given. 3. Medical: (a) Constitutional. 
Anemia, neuralgia, insomnia, etc., should be appropriately 



Hand-Book of Modern Treatment. 



treated, (b) Local. Thoroughly cleanse skin with an oil, pref- 
erably unguentum aquse rosse. Prescribe the following: — 
IJ Ungt. hydrarg. ammon., 3vj. 
Ungt. picis liq., 3j. 
Sulphuris prsecip., 3ij. 
Ungt. zinei oleati, 3iv. 
Olei lavandulse, m v. 
Misce et fiat unguentum. 
Sig. : Apply to face twice daily. 

Avoid hot water, witchhazel, bay rum, and other stimulant 
applications to the face, particularly the "tonics" that barbers 
sell and use on customers. After the skin resumes its normal 
color apply tincture of benzoin to contract the wide-open pores. 

ACNE OINTMENT. 
I£ Antipyrinse, 3iss. 

Fluidextracti cocae, f^ij. 

Tinct. aurantii dulcis, fgj. 

Glycerini, §j. 
Misce. 
Sig. : Apply locally. 

ACNE IN CHILDREN. 

The treatment of acne in children consists in the restric- 
tion of the diet. Coffee, pork, fish, pastry, cheese, and spices 
should be restricted. The following combination is recom- 
mended before meals : — 
R Sodii bicarb., gr. iij. 
Magnesii oxidi, gr. iss. 
Pulv. rhamni purshianae, gr. iss. 
Misce, fiant capsulae no. j. 
Sig.: One capsule to be taken before each 
meal. 

The face should be washed in very hot water in which have 
been boiled bran and sodium borate. In the evening, after 
washing the parts with naphtha soap, the following ointment 
should be applied : — 

I£ Betanaphtholis, gr. ivss. 

Tinct. saponis viridis, m ivss. 

Cretae prsep., 

Sulphuris loti, of each, gr. viiss. 

Petrolati, 3vj. 
Misce et fiat unguentum. 
Sig.: Apply locally. 



Hand-Book of Modern Treatment. 



The following morning, after bathing the face, the follow- 
ing lotion is recommended : — 

I£ Sodii boratis, 3j. 
Spt. setheris, f3v. 
Aquae rosae, fgiss. 
Aquae destil., fgiiss. 

Mi see, fiat lotio. 

Sig. : Apply locally to the affected parts. 

Indication: Used in acne in children. 



SIMPLE ACNE. 

B Bismuthi subnitratis, 3ij. 

Ung. hydrarg. amnion., 3ij. 

Ichthyolis, 3ij. 

Vaselini, giiss. 
Misce. 
Sig.: Apply locally. 

I£ Ichthyolis, gj. 
Aquae dest., 3j. 

Misce. 

Sig.: Rub in before retiring; wash off with 
soap and warm water in the morning. During 
the day use a weak solution of mercuric chlo- 
ride. 

Indication: Simple acne. 

I£ Mueilaginis acaciae, m lxxij. 
Sulphuris sublimati, §ss. 
Alcoholis, gss. 
Aquae, 3ss. 

Misce. 

Sig.: Apply once daily. 

Indication: A paste for the acne of young 
persons. 

1$. Sulphuris prsecipitati, gr. xc. 
Spt. camphorse, f3iv. 
Aquae dest., f§j. 
Sig.: Apply in the evening and let dry on 
the skin. Next morning wash off with warm 
water. 

Indication: Inflammatory acne. 



Hand-Bool- of Modern Treatment. 



ACNE LOTION 
IJ Betanaphthol, gr. xl. 

Sulplmris sublimati, gr. cc. 

Petrolati, gr. c. 

Saponis viridis, gr. c. 
Misce. 

Sig. : Apply externally each night. 
Indication : Simple acne. 

B; Sulphuris prsecipitati, gr. xc. 
iEtheris, f3iv. 
Alcoholis, fSj. 
Misce. 

Sig. : Apply as a lotion. Wash parts fre- 
quently with hot water and green soap. 

Indication: Used when acne becomes pustu- 
lar. 

B> Ichthyolis, m xxx. 

Acidi salicylici, gr. xxx. 

Saponis viridis, gr. xviij. 

Adipis lanae hydrosi, q. s. ad 3iv. 
Misce. 

Sig. : Apply at night and wash off in the 
morning with hot water. 

I£ Potassii iodidi, gr. xl. 

Potassii bromidi, §j. 

Liq. acidi arsenosi, 3iss. 

Tinct. sumbul, 3ij. 

Aquae camphorae, ^xij. 
Misce. 

Sig. : Tablespoonful in water after meals. 
Indication: Acne rosacea?. 

R; Potassii sulphidi, 3j. 

Zinci sulphatis, 3j. 

Aquae rosae, f§iv. 
Misce. 

Sig.: Apply before retiring at night. 
Indication: Used as an acne lotion. 

I£ Antipyrini, 3iss. 

Fluidextracti cocae, 5ij. 

Tinct. auranti, §j. 

Glycerini, §j. 
Misce. 

Sig. : Teaspoonful three times daily between 
meals. 



Hand-Book of Modern Treatment. 



B Potassii arsenitis (sol.), f B j - 

Sig. : Three minims three times daily. 

Indication: Useful if debility or anaemia is 
present, and should be continued for a month 
or two. 

ADDISON'S DISEASE. 

H. A. Moody publishes an account of a well-marked case in 
which the use of 3 grains of suprarenal extract in capsules thrice 
daily was attended by rapid amelioration of the symptoms and 
lessening of the pigmentation. Finally the patient discontinued 
the remedy for nine months. Upon resuming it in the same 
dose, on the fifth day, after having taken twelve capsules, 36 
grains, the patient was attacked by intense gastralgia, the sur- 
face being pale and cold, indicating intense vasoconstriction, 
the mucous membrane participating in the bloodless condition. 
"Morphine and atropine soon relieved the paroxysm, and, 
after suspending all medicine for a few days, the capsules were 
resumed. After taking six more she had another attack of 
gastralgia and again the extract was suspended. At the end 
of a week she began taking one capsule at night and one in 
the morning. On the fifth day the gastralgia returned more 
violently than ever, the vasoconstriction being marked and per- 
sistent. The pulse was weak, slow, and labored, and the entire 
surface cold and pale. It required active and energetic treat- 
ment, including the administration of morphine, atropine, and 
nitroglycerine, to relieve her. It was with some difficulty that 
I persuaded the patient to resume the treatment, but in a few 
days she did so, taking only one capsule a day. This amount 
caused no trouble, and a very gratifying improvement of all 
the symptoms appeared." 

I£ Glandulse suprarenalis sicca, 3j. 

Pone in capsulas no. xx. 

Sig. : One capsule three times daily after 
meals. 

ADENITIS. 

I£ Ammonii chloridi, 3iss. 

Camphorse, 3ss. 

Adipis, gj. 
Misce. 
Sig. : To be applied morning and evening. 



Hand-Book of Modem Treatmem 



Ifc Potassii iodidi, gr. xvj. 

Extracti ciculse, gr. xxxij. 

Aquse dest., f3iss. 

Lanolini, Sj- 
Misce. 

Sig. : Apply twice daily. 
Indication: Useful in chronic adenitis. 

I£ Syrupi ferri iodidi, f§iv. 
Sig. : 5 to 20 minims in water after meals. 
Indication: Good when accompanying anae- 
mia. 

I£ Unguenti iodi, 3j. 

Adipis, Bj. 
Misce. 
Sig. : Apply locally night and morning. 

I£ Ichthyolis, 3iv. 

Adipis benzoinat., Sij. 

Misce. 

Sig. : Rub some into the swelling three times 
daily. 

Ifc Tinct. iodi, 3ij. 

Sig. : Paint thoroughly over the gland. 



ADHERENT DRESSINGS. 

PAINLESS REMOVAL OF ADHERENT DRESSINGS. 

Dr. von Mikulicz suggests an easy means of obviating 
this drawback — viz., by wetting the dressings w r ith oxj^genized 
water. This provokes a copious evolution of bubbles of gas, the 
mechanical effect of which is to free the gauze and allow its 
removal without causing pain. The method is so simple as to 
deserve the notice of surgeons. 

REMOVAL OF ADHESIVE STRIPS. 

In removing adhesive strips which have been used as dress- 
ings, a little ether poured on the same will facilitate the removal 
by dissolving the adhesive substance. 



10 Hand-BooTc of Modern Treatment. 

ADRENALIN. 

Dr. Winfield Ayers has found a mild solution of adrenalin 
extremely useful in certain kinds of genito-urinary work. In 
examining the urethra an irritable stricture is frequently dis- 
covered, "the first evidence of the fact being generally a severe 
haemorrhage, which there is sometimes difficulty in stopping. 
It occurred to Dr. Ayres to use adrenalin, and he finds it 
answers the purpose well, a solution of 1 to 100,000 being suffi- 
cient for the purpose. 

THE USES OF ADRENALIN". 

Adrenalin, a stable substance of pure crystalline form, is 
the active principle of the suprarenal gland recently isolated. 

Dr. Emil Meyer writes that he has used solutions of adren- 
alin chloride, 1 to 1000, 1 to 5000, and 1 to 10,000. Blanch- 
ing of the tissues followed the application of the strongest 
of these solutions in a few seconds, and was very thorough. In 
no instance was there any constitutional disturbance. Thirty- 
five cases are reported. A few operative cases bled freely, but 
hi every instance the haemorrhage was promptly checked by a 
second application of adrenalin. The adrenalin was used not 
only as a haemostatic, but for the relief of nasal congestion, as 
a diagnostic aid, and for the continuous treatment of acute 
inflammatory affections of the accessory sinuses. 

Of the same preparation, Dr. E. Fletcher Ingals says that 
a case of daily epistaxis was relieved by sprays of a 1 to 10,- 
000 solution. Another case, one of conjunctival congestion 
from overwork, was entirely relieved by the instillation of 
a similar solution. The author has had equally satisfactory 
results in cases of conjunctivitis; laryngitis, acute and chronic; 
acute laryngitis with oedema glottidis; acute co^za; chronic 
laryngo-tracheitis Avith acute exacerbation; and in preparation 
for operations upon the nose. 

AFTER-PAINS. 

In many cases a nice warm meal is better than any medicine ; 
"still, where the pains are exhaustingly severe, I turn to amyl 
nitrite. The potent drug is a very efficient controller of after- 



Hand-Book of Modern Treatment. 11 

pains, and, used cautiously, I see no reason to apprehend harm 
from it. A neat way of using it is to saturate a small piece of 
tissue-paper with 5 or 6 drops, stuff this into a two-drachm yial, 
and request the patient to draw the cork and inhale the odor 
when she feels the pains coming on. It acts with magical 
celerity. 

SALOPHEN IN AFTER-PAINS. 

Dr. Audebert recommends salophen for the treatment of 
after-pains. The remedy has the property of abolishing the 
pain without interfering with the contractions of the uterus. 
He prescribes a dose of 15 grains, which he repeats in two 
hours if necessary. As a rule, the pains disappear in a half-hour 
after the first dose. It occasionally happens that the pains 
reappear on the next day, but then another dose drives them 
away completely and permanently. 



AGALACTIA. 

Ifc Strych. sulph., 

Pilocarpine hydrochlor., of each, gr. j. 

Sacch. lactis, 3iiss. 
Misce et fiant tabellae triturationes no. lx. 
Sig. : One every four hours. 

IJ Ext. ergotae, 

Ext. nucis vomicae, of each, gr. vj. 

Quininse hydrochloratis, gr. xxiv. 
Misce, fiant pilulse no. xxiv. 
Sig. : One pill every six hours. 
Indication: Use in anaemic subjects. 

I£ Liq. potassii arsenitis, f3iv. 

Sig. : One drop three times daily in milk and 
increasing one drop each day until five is 
reached, and return to one drop three times 
daily. 

ALBUMINURIA.— See Nephritis. 



12 Hand-Book of Modern Treatment. 



ALCOHOLISM. 

R Oleoresini capsici, m x. 

Olei caryophylli, m x. 

Hydrarg. chlor. mit., gr. xx. 

Aloe, gr. xl. 
Misce et fiant pilulae no. xx. 
Sig. : One three times a day after meals. 
Indication: Used in the atonic stomach of 
drunkards. 



R Tinct. capsici, f3iss. 

Tr. opii deodorat., f5ij. 

Spiritus setheris nitrosi, f3iv. 

Tr. lavandulse comp., q. s. ad f^iv. 
Misce. 

Sig.: Dessertspoonful every four or five 
hours. 



R Spiritus aromatici ammon., fgij. 

Sig. : Ten minims in water every half -hour. 

Indication: To relieve acute alcoholism. 



R Potassii bromidi, gr. v. 

Sodii bromidi, gr. v. 

Chloralis hydratis, gr. x. 

Tr. zingiberis, m v. 

Tr. capsici, m v. 

Spts. amnion, aromatici, m xv. 

Aquffi, q. s. ad 3j. 
Misce. 

Sig. : To be taken as one dose, and used as 
necessary. 

Indication: Useful in delirium tremens. 



R Paraldehyde f3vj. 

Elixiris aromatici, q. s. ad f^iv. 

Misce. 

Sig. : Tablespoonful in every two or three 
hours. 

Indication: Useful in mild delirium and 
restlessness. 



Hand-Book of Modem Treatment. 13 

IJ Acidi hydrochlor. diluti, f3j. 
Tr. nucis vomicae, f3ij. 
Tr. capsici, f3j. 

Tr. gentianae comp., q. s. ad f^iij. 
Misce. 

Sig. : Two teaspoonfuls in water before 
meals. 

Indication: To improve appetite and diges- 
tion after an alcoholic debauch. 

The insomnia and intense nervousness which frequently 
accompany acute alcoholism should be corrected by promoting 
free elimination from the bowels, skin, and kidneys. A brisk- 
laxative in the form of Hunyadi water, Seidlitz powder, or mag- 
nesium citrate should be given, also a Turkish bath, if not 
too depressing. Sodium bromide should be preferably used 
as a sedative and hypnotic. The author does not favor the 
indiscriminate use of bromides chiefly because of the danger 
of producing gastric disturbance. 

A mixture similar to the following is recommended : — 

IJ Chloralis hydratis, gr. xv. 

Sodii bromidi, gr. xv. 

Tinct. capsici, m x. 

Aquse menthse piperitis, Sss. 
Misce. 
Sig. : At one dose. 

The author, however, prefers paraldehyde as an hypnotic, 
combined as follows: — 
R, Paraldehyde 3ss to j. 

Olei olivse, §ss. 
Misce. 
Sig. : At one dose, to produce sleep. 

Paraldehyde is said to produce sound, refreshing sleep, with 
no depressant after-effects. Food should be withheld until the 
bowels move freely. 

B Sodii bromidi, §j. 

Tinct. capsici, 3j. 

Tinct. digitalis, 3ss. 

Elix. simplicis, ad Sij. 
Misce. 

Sig. : A teaspoonful every two or three hours 
in water. 

Indication: Acute alcoholism. 



14 Hand-Book of Modern Treatment. 

quinquaud's sign of chronic alcoholism. 

This sign is thus described by Aubry: The patient holds 
up his hand with the fingers spread apart. The examiner then 
presses upon the patients finger-tips with his own, using mod- 
erate firmness. If the patient is an alcoholic there will be 
observed in a few seconds a grating or crackling of the phalanges 
as though the bones were rubbing each other. It is more 
marked in men than women. 

In the extreme depressions, irritable system, and cerebral 
perversions following a debauch, I have frequently observed 
excellent results from the following : — 

I£ Sodii bromidi, 5ij. 

Fluidextracti hyoscyami, f3j. 

Fluidextracti lobelia?, fSj. 

Fluidextracti pulsatillse, gtt. xx. 

Fluidextracti lupulini, f 31 j. 

Aquse menthse piperita?, q. s. ad f^ij. 
Misce. 

Sig. : Teaspoonful occasionally. 
Indication: For alcoholic excess. 

If the heart is very weak give nitrate of strychnine, while 
as a tonic in convalescence prescribe nux vomica, calumba, 
gentian, and hydrastis. The primary feature is to afford the 
patient rest and comfort, the above usually being sufficient. 

ALOPECIA. 

R^ Resorcin, 3j. 

Olei ricini, m xxx. 

Olei tiglii, m iv. 

Alcohol, §iv. 
Misce. 

Sig.: Rub in twice daily. 
Indication: Used in premature dropping out 
of the hair. 

1$. Acidi salicylici, gr. x. 

Betanaphtholis, gr. xx. 

Sulphuris prsecip., 3j. 

Vaselini, q. s. ad 5j- 
Misce. 
Sig. : Apply night and morning. 



Hand-Book of Modern Treatment. 15 

IJ. Liq. carbonis deterg., f3j. 

Adipis lanse hydrosi, 3iij. 

Petrolati, q. s. ad gj. 
Mi see. 
Sig. : Apply night and morning. 

R. Acidi acetiei, 5ij. 

Sodii boratis, gr. xxx. 

Glycerini, f3iss. 

Spts. vini, f3ij. 

Aquae rosse, q. s. ad Siv. 
Misce. 
Sig.: Apply twice daily. 

I£ Liquoris amnion, acetatis, fgj. 

Ammon. carbonatis, gr. xv. 

Glycerini, f3iss. 

Aquse sambuci, q. s. ad f§iv. 
Misce. 
Sig.: Apply once daily. 

I£ Tr. cantharidis, f3iv. 

Tr. capsici, m xl. 

Olei ricini, f^j. 

Alcobolis, q. s. ad f^iv. 
Misce. 

Sig. : Apply once daily. 

Indication: Stimulating tonic and to be used 
with care. 

I£ Olei cadini, f3iss. 

Lanolini, 3iij. 

Vaselini, q. s. ad §j. 
Misce. 
Sig. : Apply once daily. 

F* Chrysarobini, gr. xxx. 

Vaselini, Bj. 
Misce. 

Sig. : Paint over and rub in. 
Indication: Useful in alopecia areata. 

R. Cresolis. 

Sig. : Apply to scalp by inunction once weekly. 



16 Rand-Book of Modern Treatment. 

I£ Olei ricini, f^ss. 

Acidi carbolici, 3j. 

Tinct. cantharidis, f§ss. ♦ 

Olei rosmarini, gtt. xv. 

Spts. vini rectif., q. s. ad f^iv. 
Misce. 
Sig. : Apply as indicated. 

IJ Pilocarpine hydrochlorati, gr. v. 
Olei rosse, m viij. 
Olei rosmarini, 3iv. 
Linimenti cantharidis, 3iv. 
Glycerini, l\. 

Olei amygdalae expressi, 3x. 
Spiritus camphorae, 3x. 
Misce. 

Sig.: To be rubbed well into the scalp night 
and morning. 

After cutting the hair close to the scalp and cleansing with 
soap and water, the following lotion: — 

I£ Hydrargyri chloridi corrosivi, gr. iij. 

Acidi acetici, gr. xv. 

Alcoholis, %\\. 

iEtheris, gij. 

Sol. lavend. (alcoholic), §ij. 
Misce. 
Sig. : Apply locally once a day. 

After drying, the head is rubbed with lactic acid, about 
30 per cent. 

The following has been used with gratifying success in 
preventing that condition so annoying to humanity which is 
described by the patient as "My hair is falling out" : — 

I£ Acidi salicylici, Siij. 

Acidi carbolici, 3j. 

Olei ricini, f3ij. 

Alcoholis, q. s. ad f^vj. 
Misce. 

Sig. : Apply freely to the scalp once or twice 
daily. 



Hand-Book of Modern Treatment. 17 

ALOPECIA CIRCUMSCRIPTA. 

J. V. Shoemaker states that persons troubled with alopecia 
circumscripta generally require constitutional treatment by 
means of diet and proper medicine. 

The following combinations are advised by him: — 

IJ Syr. ferri lactati, 3ij. 

Ext. malti diastasic, §vj. 
Misce. 

Sig. : One dessertspoonful three times a day 
after meals. 

Locally the following: — 

I£ Sulphuris sublim., 3j. 

Olei eucalypti, m x. 

Acidi salicylici, gr. x. 

Ungt. zinci oxidi, §j. 
Misce et fiat unguentum. 

Sig. : Rub into the affected spots well twice 
a day. 

CRESOL IN" ALOPECIA AREATA. 

MacGowan states that he has cured eight cases of alopecia 
areata within a period averaging two and one-half months. After 
the part has been cleansed with benzin, the patch and surrounding 
zone are thoroughly rubbed with a cotton swab saturated with 
cresol. The latter is applied pure to the scalp and in 50 per cent, 
dilution with alcohol on the face. The applications cause burn- 
ing, which disappears in the course of a few minutes. The 
applications are repeated in from four to ten days. 

IJ Tr. cantharidis, 3j. 

Quininae hydrochloratis, 3j. 
Aquse rosae, q. s. ad §viij. 
Misce. 

Sig. : Apply morning and evening. 
Indication: For falling hair after severe ill- 
ness. 

ALOPECIA AREATA. 

A young woman who had rebellious alopecia for more than 
a year was practically cured by washing the head twice a day 



lg Eand-Book of Modern Treatment. 

with soap and then rubbing kerosene vigorously into the bald 
patches. They soon became covered with soft hairs which, by 
the end of eight months, had almost all been transformed into 
adult hairs. 



ALTERATIVES. 

For failure of appetite, weak digestion, and the general 
debility of warm weather, the following stomachic: — 

I£ Acidi nitrohydrochlorici, 3ij. 

Aquae, §iss. 

Strychnige sulph., gr. j. 
Misce et adde: — 

Tincturee cardamomi comp., §iij. 

Tincturse gentianse comp., q. s. 5vj. 
Misce. 
Sig. : Dessertspoonful after meals in water. 

I£ Potassii iodidi, gj. 

Tincturee gentianse comp., q. s. 3 v j- 
Misce. 

Sig. : Five minims or more well diluted 
three times daily. 

I£ Liq. potassii arsenitis, 3iss. 

Infus. gentianse comp., q. s. ad %iv. 
Misce. 

Sig.: One teaspoonful dilated three times 
daily after meals. 

I£ Hydrarg. chloridi corrosivi, gr. iss. 

Infus. gentianse comp., Sivss. 
Misce. 

Sig. : One teaspoonful diluted three times 
daily. Use with care. 

Ifc Hydrarg. iodidi rubri, gr. iss. 

Potassii iodidi, 3iv. 

Aqu83 cinnamomi, §iij. 
Misce. 

Sig. : One teaspoonful well diluted three 
times daily. 



Hand-Book of Modem Treatment. 19 

I£ Vini colchici seminis, 3iv. 

Potassii iodidi, 3ij. 

Aquae nienthse piperit., q. s. ad §iij. 
Misce. 
Sig. : One teaspoonful three times daily. 

Ifc Olei morrhuae, f^iij. 

Syrupi calcii lactophosphat., §iss. 
Liquoris calcis, §iss. 
Misce. 

Sig. : One or two teaspoonfuls three times 
daily. 

Indication: Useful for rachitis and ill-nour- 
ished child over two years. 



P* Liq. potassii arsenitis, m xx. 

Syrupi, £j. 

Tinct. cardamomi comp., 3iij. 

Aquae q. s. ad %v. 
Misce. 

Sig. : One teaspoonful three times daily. 
Indication: Useful for children. 



P* Potassii iodidi, gr. xlviij. 

Syrupi sarsap. comp., §iij. 

Aquae, Siij. 
Misce. 

Sig. : One or two teaspoonfuls three times 
daily. 

Indication: Useful for children. 



AMAUROSIS AND AMBLYOPIA. 

P* Potassii iodidi, 3ij. 
Pepsini (scale), 3ij. 
Aquae, q. s. ad fSiij- 
Misce. 

Sig. : Teaspoonful in water after meals and 
increased. 

Indication: Useful when due to syphilis or 
metallic poisons. 



20 Hand-Book of Modern Treatment. 



AMENORRHEA. 

I£ Tinct. ferri chloridi, f3iij. 

Tinct. cantharidis, f3j. 

Tinct. guaiaci ammon., f3iss. 

Tinct. aloes, fgss. 

Syrupi, q. s. ad f^vi. 
Misce. 
Sig. : One tablespoonful three times a day. 

I£ Ferri et potassii tartratis, 3iss. 

Ext. artemisise, 3ss. 

Ext. absinthii, 3ss. 

Pulveris aloes Socotrinae, 3ss. 

Essen, anisi, gtt. iij. 
Misce et fiant pilulse no. 1. 
Sig.: Two pills with each meal. 

IJ Hydrargyri chloridi corrosivi, gr. j. 

Sodii arsenatis, gr. j. 

Strychninse sulphatis, gr. j. 

Potassii carbonatis, gr. xxx. 

Ferri sulph., gr. xxx. 
Misce et fiant pilulae no. lx. 
Sig. : One after each meal. 
Indication : Amenorrhea in debilitated and 
anaemic states. 

B Pulv. damianae, gr. iii%. 

Pulv. sabinae, gr. iss. 

Pulv. rutae, gr. iss. 

Pulv. croci, gr. iss. 

Pulv. zingiberis, gr. %. 

Misce. 

Sig.: For one capsule; one, morning and 
evening. 

B Ferri pepton, gr. xxx. 

Manganesii lactatis, gr. xxx. 

Scammonii, gr. xxx. 

Strych. sulphatis, gr. 1 / 7 . 
Misce et fiant pilulae no. xl. 
Sig.: Give two to four each evening on re- 
tiring. 



Band-Book of Modern Treatment. 21 

Citrate of manganese has given fairly good results in 
amenorrhoea (especially uncomplicated oligochromsemia). It 
is administered in 5-grain doses thrice daily, increased, if neces- 
san T , to as much as 15 grains. It may with advantage be given 
at meal-time; 5 grains of sulphate of iron to be taken one 
hour afterward if anaemia be produced. 

I£ Hydrargyri chloridi eorrosiyi, gr. j. 

Liquoris arsenici chloridi, gtt. xlviij. 

Tincturi ferri chloridi, 3iv. 

Acidi hydrochlorici diluti, 3iv. 

Syrupi zingiberis, q. s. ad §vj. 
Misce. 

Sig. : Dessertspoonful in water after meals. 
Indication: Amenorrhoea due to depressing 
hygienic surroundings. 

I£ Tinct. ferri chloridi, f3iij. 

Tinct. cantharidis, f3j. 

Tinct. guaiaci ammon., f3ss. 

Tinct. aloes, 5ss. 

Syrupi, q. s. ad fgvj. 
Misce. 
Sig. : Tablespoonful three times a day. 

I£ Acidi arsenosi, gr. j. 

Ferri sulph. exsiccat., 3ss. 

Pulv. piperis nigri, 3j. 

Pilulse aloe et myrrhae, 3j. 
Misce et fiant pilulse no. xl. 
Sig.: One three times daily after meals. 
Indication: Useful in chlorosis and amenor- 
rhoea. 

I£ Ergotini (Bonjean), gr. ij. 
Quininse sulph., gr. ij. 

Misce et fiat capsular no. j. 

Sig.: One capsular three times a day. 

I£ Apiolini, f3j. 

Pone in capsulas no. xx. 

Sig. : One capsule three times a day for one 
week before time for menstruation. 



22 Hand-Book of Modern Treatment. 

I£ Mangani dioxidi, 3j. 
Pone in capsulas no. xvj. 
Sig. : One three times daily for few days 
before time for menstruation. 

I£ Pilulae ferri carbonatis no. 1. 
Sig. : One pill after meals and increase. 
Indication: Useful when chlorosis and anae- 
mia are present. 

1$. Olei rutae, £ss. 

Pone in capsulas no. xlij. 

Sig. : One capsule three times daily. 

IJ, Olei sabinae, 3iv. 
Pone in capsulas no. xlij. 
Sig.: One three times daily. 

3 Olei tanaceti, 3iv. 
Pone in capsulas no. xlij. 
Sig.: One three times daily. 



ANAEMIA. 

R. Liq. potassii arsenitis, f3iiss. 

Acidi phosphorici diluti, f^iij. 

Extracti osis marrow, q. s. ad Sviij. 
Misce. 

Sig. : Dessertspoonful after each meal. 
Indication: Pernicious anaemia. 

IJ Acidi arsenosi, gr. ss. 

Ext. nucis vomicae, gr. v. 

Ferri reducti, gr. ij. 
Misce et fiant pilulae no. xx. 
Sig. : One after each meal. 

B Codeinae phosphatis, gr. x. 

Elixiri pepsini, §iss. 

Aquae foeniculi, q. s. ad %iv. 
Misce. 

Sig. : One teaspoonf ul three times daily. 
Indication: Useful in chronic anaemia 
marked by mental depression. 



Hand-Book of Modern Treatment. 23 

"EJ Ferratini, 3ij. 

Pulv. rhei radicis, 3iv. 

Sodii bicarbonatis, 3ij. 

Olei foeniculi, m xxx. 
Misce. 

Sig. : One teaspoonful at night in water. 
Indication: Useful in anaemia with consti- 
pation and painful menstruation. 

IJ, Ferri sulph. exsiccat., 3ij. 

Potassii carbonatis, 3ij. 

Syrupi, q. s. 
Misce et fiant pilules no. xlviij. 
Sig. : One to three pills three times daily. 

I£ Liq. potassii arsenitis, f3iv. 

Sig. : One minim three times daily and in- 
crease one drop each day till puffiness under 
eyes. Then reduce by half. 

I£ Cupri arsenitis, gr. ij. 
Sig. : One-fiftieth of a grain three times 
daily. 

R Syrupi ferri iodidi, f£ij. 

Sig. : Ten minims in milk three times daily. 

I£ Hydrarg. chloridi corrosivi, gr. ij. 

Aquas f§iss. 
Sig. : Ten minims three times daily. 

Byrom Bramwell, in a case of splenic anaemia, of an 
unknown causation, occurring in a young man, 25 years of 
age, found the blood to contain 48 per cent, of haemoglobin, 
although the red cells were not much reduced (4,030,000 
per cubic millimeter). The white cells were 3800. There 
was some, but not marked, poikilocytosis. No nucleated red 
corpuscles were seen. The white corpuscles were in about 
normal proportions; no myelocytes were found. The patient 
did not use alcohol, and malaria and syphilis were excluded. 
He had had good health until about three years preceding, 
when he was suddenly seized with acute pain in the left side 
of the abdomen, and, almost immediately afterward, vomited 



24 Hand-Book of Modern Treatment. 

a large quantity of bright red blood. Since this attack he had 
never felt strong and his skin had been always sallow. Sub- 
sequently, he had vomiting of blood on two occasions. He 
was suffering with marked anaemia and debility when he com- 
menced treatment with Blaud^s pills (gr. v. thrice daily) and a 
daily exposure to the X-rays. Almost immediate improvement 
resulted; in one month the red blood-cells increased from 
2,440,000 to 4,260,000, and the hemoglobin from 20 to 46 per 
cent. The yellow coloration of the skin had almost entirely 
disappeared. The patient was discharged at his own request, 
looking and feeling well. The spleen was only slightly reduced 
in volume. 



ANAL FISSURE. 

IJ Hydrarg. chloridi mitis, gr. xxx. 

Extracti opii, gr. x. 

Extracti belladonna^ gr. x. 

Vaselini, 3j- 
Misce. 

Sig. : Give a laxative at night and apply 
the above ointment. 

B Bismuthi emulsionis, 3j. 

Iodoformi, gr. x. 

Olei olivae, §iv. 
Misce. 
Sig. : Inject and retain on alternate days. 

1$ Sol. potassii bromidi, 3iss. 

Glycerini, q. s. ad 3j. 
Misce. 
Sig. : Apply to fissure with a brush. 

The fissure is first anaesthetized with cocaine, and pure 
ichthyol is applied with a bit of cotton on a glass rod. For sub- 
sequent applications, which are made every other day, anaesthesia 
is generally unnecessary. Cicatrization is usually very rapid, 
and stretching of the sphincter is not necessary. The bowels 
must be kept free. 



Band-Book of Modem Treatment. 25 

IJ Ext. conii, gr. xv. 
Olei ricini, gr. xv. 
Lanolini, gr. xxx. 
Mi see. 

Sig. : To be applied to parts after each action 
of the bowels. 

In cases of anal fissure in which severer measures are de- 
clined by the patient it may be well to try a method of treat- 
ment recommended by Katzenstein, who seeks to soothe the 
nerve-endings and do away with the spasm of the sphincter with 
the aid of the following mixture : — 

I£ Ext. belladonna?, gr. viiss. 
Cocainse hydrochlor., gr. x / 20 . 
Ammonium sulphichthyolate, q. s. ad 3iss. 

Misce. 

Sig. : This is warmed and applied by means 
of an applicator wrapped with cotton once or 
twice a day for a week or two; then sitz baths 
are used and the bowels carefully regulated. 

Indication: A non-operative treatment of 
fissure of the anus. 

R, Cocainse hydrochlor., gr. j. 

Extract, belladonna?, gr. j. 

Ichthyoli, 3iss. 
Misce et fiat unguentum. 
Sig. : Apply twice daily. 

I£ Iodoformi, gr. xxx. 
Phenolis, gr. xv. 
Olei olivse, §vj. 
Misce. 

Sig. : Inject one ounce into rectum after 
evacuation. 

Indication: To relieve pain and promote 
healing. 



ANAESTHESIA. 

LOCAL ANESTHESIA. 

A valuable local anaesthetic for inflamed tissues can be 
had by adding a few drops of 1 to 1000 solution of adrenalin 



26 Hand-Book of Modern Treatment. 

to 1 / 2 - to 1- per cent, solution of cocaine. In injecting this the 
first result is an anaemia of the skin, due to its action on the 
vasoconstrictors, followed by a deep anaesthesia. Incisions can 
be made into inflamed tissues with the loss of very little blood, 
and the method is well adapted for furuncles, anthrax, etc. 

It is wise never to anaesthetize a patient in the presence of 
many people. It renders him more agitated and nervous. It 
is preferable to anaesthetize in an adjoining room, or to cause 
all but the anaesthetist and one assistant to leave the room until 
the patient is thoroughly under the influence of the anaesthetic. 

In giving ether it is a mistake, after anaesthesia is complete, 
to continue it until it becomes very profound, and then to leave 
off until the patient shows signs of returning consciousness, 
Allowing the patient one breath of pure air to every four or five 
of ether will commonly keep him in excellent condition, while 
the anaesthesia is effective and safe. 

Lasting anaesthesia can be produced by spraying ethyl- 
chloride over a surface previously moistened with a concen- 
trated watery solution of cocaine. Cocainized ethyl-chloride has 
been employed for opening abscesses, etc. 

SPINAL ANESTHESIA. 

I would limit the indications for its application at the 
present moment : 1. To adults, and to reasonable persons who 
have good self-control, thereby excluding children, hysterical 
patients, and the insane. 2. To patients in whom the methods 
of local or regional anaesthesia are inapplicable. 3. To pa- 
tients suffering from emphysema, advanced asthma, chronic 
bronchitis, and other respiratory affections in whom a general 
inhalation anaesthetic is absolutely contraindicated ; in advanced 
cardiac cases with degenerative lesions, I would fear the possible 
depressing effects of the injection and excitement on the circula- 
tion. 4. In the majority of cases in which the painful part of 
the operation is not likely to be prolonged beyond one hour and 
a half, as I would be averse, in the present state of our know- 
ledge, to repeat a second cocainization or to increase the total 
dose of the cocaine to more than 2 cubic centimeters, especially 
in exhausted subjects. 

Dr. Gartner has recently patented an instrument which 



Hand-Book of Modern Treatment. 27 

records the pulse of a patient who is under the influence of an 
anaesthetic. The instrument is fastened to the forearm, and a 
graduated disc records the increase or retardation of the pulse. 
The experiments in the hospital of Vienna succeed marvelously. 
It is hoped by means of it to prevent death during operations. 
The following formulas for the use of camphor as anaes- 
thetics for local use in itching affections : — 

1$. Camphorae, gr. xv. 

Olei amygdalae dulcis, § % . 
Misce. 

IJ Lanolini, ^iij- 

Camphorated oil, % x / 3 . 

Choralis hydratis, gr. xv. 
Misce. 

1$. Zinci oxidi, 3vi%. 

Cretan, Svi 1 /!. 

Camphorated oil, Zvi 1 /^. 

Liquoris calcis, Svi^. 
Misce. 

A SIMPLE METHOD FOR PRODUCING LOCAL ANESTHESIA. 

A very simple method for producing local anaesthesia, and 
one that will commend itself in the performance of minor op- 
erations, has recently been described by a writer in the Lancet. 
The method outlined is as follows : A solution consisting of 
adrenalin chloride, 2 drachms; cocaine, 5 grains; and water, 
1 / 2 ounce, is prepared. Lint is folded into a pad of four layers, 
soaked in the solution and placed under a positive electrode. A 
large negative electrode is applied elsewhere, and a current of 
from 15 to 30 milliamperes is slowly induced and run for the 
space of from 5 to 15 minutes. The surface may then be 
washed with ether, and superficial operations performed pain- 
lessly and without loss of blood. 

AN IMPROVED METHOD OF LOCAL ANALGESIA. 

Prof. Arthur E. J. Baker prepares his analgesic solu- 
tion as follows : 3 grains of betaeucaine and 12 grains of 
pure sodium chloride are added to 3 1 / 2 ounces of boiling 



28 Hand-Book of Modern Treatment. 

distilled water, and 16 drops of a 1 to 1000 solution of 
adrenalin chloride are poured into the fluid after it has 
cooled. This makes a normal saline solution containing 2 
to 1000 eucaine and 1 to 100,000 adrenalin chloride. The 
whole quantity could, within the limits of safety, be injected into 
a patient at one sitting, but Professor Barker has found that 
an extensive operation can be done with about one-half of it. 

Barker never observed secondary haemorrhage following 
the use of the method. He used it in 34 cases, which include 
10 operations for radical cure of hernia, 5 cases of strangulated 
hernia, 2 castrations for tuberculous testis, 5 cases of varicose 
veins, 6 cases of psoas abscess, 1 case of loose body in the knee, 
1 case of tumor of the neck (actinomycosis), 1 colotomy, 1 of 
Thiersch skin-grafting, and 2 cystic adenomata of thyroid. The 
analgesia was always satisfactory and far exceeded in complete- 
ness and comfort all other procedures. 

A NEW LOCAL ANESTHETIC. 

Dr. G. Frank Lydston describes his method of using 
antipyrine as a local anaesthetic. He has used it in a 
number of cases of urethrotomy. He uses a 10-per-cent. 
solution, which appears to be quite as efficacious as co- 
caine. The solution should be fresh and should be allowed 
to remain in the urethra for ten minutes. He suggests the anti- 
pyrine solution for nose and throat work in conjunction with 
cocaine. It is anaesthetic and styptic, and, unlike cocaine, is not 
followed by vascular relaxation. He sums up the advantages of 
antipyrine as compared with cocaine as follows: (1) abso- 
lute safety, (2) freedom from constitutional effects, (3) distinct 
lessening of haemorrhage after operation, and (1) less damage to 
nutrition of the wounded tissue. 



ANEURISM. 

1$, Potassii iodidi, Siss. 

Syrupi sarsaparillse comp., §vj. 
Misce. 
Sig. : One teaspoonful in water after meals. 



Hand-Booh of Modem Treatment. 29 

I£ Gelatini, gr. xxx. 
Sodii chloridi, gr. cl. 
Aquae destillat., f^iv. 
Misce. 

Sig. : Inject two ounces of this every second 
day into loose tissues of back or thigh. 

1$. Tinct. veratri, f3ij. 

Tinct. opii deodorati, f3ij. 
Elixiris aromatici, q. s. ad f§iij. 
Misce. 

Sig. : One or two teaspoonfuls every two or 
three hours. 

I£ Tincturse veratri, 3ij. 

Syrupi simplicis, q. s. ad 3iss. 
Misce. 

Sig. : One teaspoonf ul three times a day. 
Indication: When heart is excitable and 
arterial tension high. 

Ifc Morphinae sulphatis, gr. iv. 

Chloralis hydratis, 3iij. 

Syrupi simplicis, 3j- 

Aquae, q. s. ad §iv. 
Misce. 
Sig.: One teaspoonful in water at bedtime. 



ANGINA PECTORIS. 

Ifc Spiritus aetheris comp., 3ij. 
Sig.: Give twenty minims during attacks 
and repeat if necessary. 

Ifc Morphines sulphatis, gr. 1 / 4 . 

Atropines sulphatis, gr. 1 / 150 . 
Misce. 
Sig. : Inject during the attack. 

IJ Amylis nitritis, f3j. 

Sig. : Inhale two to five drops on a handker- 
chief. 

Indication: To relieve attack. 



30 Band-Booh of Modern Treatment. 

ty Tr. digitalis, f3j. 

Tr. strophanthi, m xxiv. 

Nitroglycerin! ( 10 per cent. ) , m xxiv. 

Tr. cardamomi, q. s. ad f^iij. 
Misce. 

Sig. : One teaspoonful three times a day. 
Indication : Useful between attacks if heart 
is feeble and tension high. 

t| Liq. potassii arsenitis, f3iv. 

Sig. : One drop in water after meals and 
increasing till puffiness under eyes or intes- 
tinal pain appears. 

1^ Spiritus glonoini, f3j. 

Sig.: One drop in water every three to four 
hours. 

Indication: High arterial tension. 

1$. Erythrol-tetranitratis, gr. j. 

Alcoholis, f3j. 

Aquae dest., f3vij. 
Misce. 
Sig. : For one dose. Take four doses daily. 

IJ Spiritus ammonias aromatici, f3j. 

Sodii bicarbonatis, gr. x. 

Tinctur88 cardamomi composite, f3j. 

Spiritus ehloroformi, m xx. 

Solutionis nitroglycerin! (1 per cent.), 
m j. 

Aquse, q. s. ad giss. 
Misce et fiat haust. 

Sig. : To be slowly sipped on the commence- 
ment of symptoms. 

Indication : For the anginal paroxysm. 



The following capsule is said to be very effective in per- 
sistent forms of angina that recur after temporary relief has 
been obtained by the use of pearls of amyl nitrite. The cap- 
sicum favors rapid absorption; the castor-oil seems to have a 
like effect : — 



Hand-Book of Modern Treatment. 31 

R Nitroglycerin!, gr. V 100 . 

Amyl. nitrit., gr. 1 / i . 

Menthol., gr. 1 / 50 . 

Oleoresin. capsici, gr. 1 / 100 . 

01. ricini, m x. 
Misce for one capsule. 
Sig. : Take when pain recurs. 

In the treatment of angina ordinary sweet spirit of niter 
has been overlooked. It is rapidly absorbed, as a rule, and in 
a very short time produces a marked fall in blood-pressure. To 
an adult a tablespoonful may be given at a dose. 

M. Houchard lays but little stress on the value of iodine 
preparations as reducers of arterial over-tension. Iodine medi- 
cation, however, is indicated when marked arteriosclerosis is 
present, in which case the resolvent action of the iodine prepara- 
tions is explained by phagocytosis. In the period preceding 
sclerosis iodine preparations, according to the author, are value- 
less, and in their stead the essential vasodilators should be em- 
ployed, such as amyl nitrite, trinitrite, or sodium nitrite. 

The following combination is recommended by him: — 

1$, Sodii nitritis, gr. iij. 

Potass, nitratis, gr. xv. 

Sodii bicarb., gr. xxx. 

Aquse destilh, f3ij. 
Misce. 

Sig.: The entire mixture to be taken at one 
dose and repeated once or twice daily. 

IJ Sodii nitritis, gr. xxx. 

Potass, nitratis, 3iiss. 

Sodii bicarb., 5v. 

Aquse destilh, f3x. 
Misce. 

Sig. : A dessertspoonful to a tablespoonful 
once or twice daily in half a glass of water. 
Indication: High arterial tension. 

The advantages in the foregoing combination are, that when 
the sodium nitrite is combined with the potassium nitrate and 
then rendered alkaline with the sodium bicarbonate, the so- 



32 Hand-Book of Modern Treatment. 

dium nitrite becomes less noxious and is of great value in low- 
ering arterial tension, which remains low for some time after 
the preparation is discontinued. 



I£ Sodii chloridi, 3iiss. 

Sodii sulphatis, gr. xv. 

Calcii phosphatis, gr. vj. 

Magnesii phosphatis, gr. vj. 

Sodii carbonatis, gr. vj. 

Sodii phosphatis, gr. ivss. 
Misce. 

Sig.: Above dose t.i.d. 
Indication : Arteriosclerosis. 



ANOREXIA. 

IJ Tinct. nucis vomicae, 3ij. 

Tinct. capsici, 3ij. 

Tinct. cinchonas, ^ij. 

Tinct. gentianae, §ij. 
Misce. 

Sig.: One teaspoonful before each meal di- 
luted in water. 

Ifc Pepsini, 3ij. 

Glycerini, 3ij. 

Acidi hydrochlorici diluti, 3iv. 

Aquae menthae piperitae, q. s. ad %iv. 
Misce. 
Sig. : One teaspoonful after meals. 

B Acidi hydrochlorici diluti, f^ss. 

Tinct. cinchonas comp., fgvj. 
Misce. 

Sig. : Dessertspoonful after meals well di- 
luted in water. 

B Pulveris capsici, gr. x. 

Extracti nucis vomicae, gr. v. 

Takadiastase, gr. xl. 
Pone in capsulas no. xx. 
Sig. : One after each meal. 



Hand-Book of Modern Treatment. 33 



Ifc Acidi nitro-muriatici diluti, m v. 
Tinct. nucis vomicae, m v. 
Tinct. columbas, m xxx. 
Syrupi limonis, q. s. 3j. 

Misce. 

Sig. : Take after meals. 

I£ Acidi nitrohydrochlorici (fresh), f3ij. 

Aquae dest., f^iss. 

Strychninae sulph., gr. j. 
Misce et adde 

Tincturae cardamomi comp., %vj. 

Tincturae gentian, comp., f^vj- 
Misce. 

Sig. : Dessertspoonful after meals in water. 
Indication: For failure of appetite, weak 
digestion, and general debility. 

I£ Pulv. capsici, gr. xx. 
Quininae sulph., 3ss. 
Sodii bicarb., 3j. 
Ext. nucis vomicae, gr. iss. 
Misce et fiat in capsulas no. xviij. 
Sig. : Give one immediately after each meal, 
three times per day. 

Indication: Anorexia in old and debilitated 
subjects. 

Ifc Acidi nitrohydrochlorici dil., f3iv. 

Tincturae gentianae, q. s. ad fBiij- 
Misce. 

Sig. : One teaspoonful after meals, well 
diluted. 

Indication: Taken after severe illness. 



ANTHRAX. 

B Phenolis, 3j. 

Aquae destillatae, f^iiss. 
Misce. 

Sig. : Soak gauze in this and apply to abort 
or inject into swelling. 



34 Hand-Book of Modern Treatment. 

I£ Acidi carbolici, 3j. 
Aquae destillatse, 3x. 

Misce. 

Sig. : Inject a few drops, wash out the cavi- 
ties with H 2 2 , and then cover with 25 per cent, 
ointment of ichthyol and equal parts of lanolin 
and zinc oxide used as a base. 

I£ Hydrarg. chloridi corrosivi, gr. j. 
Aquas destillat., gtt. c. 

Misce. 

Sig. : Inject into and around the border of 
the pustule. 

Indication: Used in early stage to abort in- 
fection. 

APHTHJE. 

IJ Potassii chloratis, gr. x. 

Listerine, f3ij. 

Aquae, q. s. ad f§j. 
Misce. 
Sig. : Shake and use freely as mouth wash. 

I£ Potassii iodidi, gr. iij. 

Glycerini, f3ij. 

Aquse rosse, q. s. ad f^j. 
Misce. 
Sig. : Use locally. 

I£ Potassii chloratis, gr. xlviij. 

Acidi muriat. diluti, f3j. 

Syrupi, §ss. 

Aquse, q. s. ad f§iij. 
Misce. 

Sig. : Teaspoonf ul diluted for a child three 
years old every three hours. 

Indication: Used in obstinate cases. 

I£ Potassii chloratis, gr. Ixxx. 

Phenolis, gr. ij. 

Glycerini, fgj. 

Aquae, q. s. ad f^viij. 
Misce. 

Sig. : Thoroughly apply to ulcers twice daily 
and use as mouth wash. 



Band-Book of Modern Treatment. 35 



1^ Boroglycerini, fgj. 

Sig. : Wash mouth with warm water and 
then apply this with clean piece of cloth or 



R. Sodii salicylat., gr. x. 

Sodii borat., gr. x. 

Phenolis, gr. j. 

Glycerini, f3ij. 

Aquae rosae, q. s. ad f§j. 
Misce. 
Sig.: Use locally. 

]$ Tr. myrrhae, f3v. 

Tr. opii camph., m lxxv. 
Mel. rosae, f§j. 
Misce. 

Sig. : Add to 5 ounces of barley water and 
use as a gargle. 

Tt Potassii chloratis, gr. xxx. 

Tinct. myrrhae m x. 

Elix. calisayae, f^iij- 
Misce. 

Sig. : Dilute one tablespoonful with two of 
water and use as mouth wash. 

I£ Aquae hydrogen, dioxidi, f§ij. 

Sig.: One teaspoonful dissolved in five of 
water and mouth washed freely every two or 
three hours. 

B Sodii hyposulph., gr. xx. 
Aquae destil., f3v. 
Glycerini, f3iij. 
Misce. 

Sig.: One teaspoonful every two hours, to be 
taken internally. And it should be applied 
locally with a camel's hair brush. 

B Argenti nitratis fusi. 

Sig. : Apply to the ulcers. 

Indication: Used in the severe forms. 



30 Hand-Book of Modem Treatment. 

The following combination is also recommended as of great 
value as an antiseptic and astringent: — 

IJ Zinci sulph., gr. ij to v. 

Aquae rosae, f^ij. 
Mi see. 
Sig.: Apply locally. 

Baginsky recommends the application of potassium perman- 
ganate topically in a 1 to 25 solution, and resorcin internally. 

IJ Alumin. et potass, sulph., 3j. 

Tinct. catechu, f3j. 

Mel. rosap, §j. 
Misce. 
Sig.: Apply locally. 

IJ Potass, chloratis, gr. xlviij. 

Acid, hydrochlor. dil., f3j. 

Syrupi, fgss. 

Aquas, q. s. ad f^iij- 
Misce. 

Sig.: One ounce diluted every three hours 
for child three years old. 

IJ Potassii chloratis, gr. xlviij. 

Listerini, f§j. 

Aquae hydrogen, peroxidi, f£j. 
Misce. 

Sig.: Cleanse mouth by means of soft cloth 
dipped in this every two or three hours. 

IJ Potassii permanganatis, gr. iij. 

Aquae, q. s. ad f5iij. 
Misce. 
Sig.: Use as mouth wash twice daily. 

IJ Acidi borici, gr. xxiv. 

Acidi salicylici, gr. v. 

Aquae, q. s. ad f§v. 
Misce. 
Sig. : Wash mouth every four hours. 



Eand-Book of Modern Treatment. 



APOPLEXY. 

$ Olei tiglii, f3ss. 

Sig. : One drop in five of olive oil on tongue. 

Indication: Rapidly acting purge. 

I£ Potassii iodidi, §j. 
Aquae, q. s. ad fgj. 
Misce et fiat solutio. 

Sig. : Three drops in water or milk and in- 
creased each day until ten or fifteen are given. 

I£ Elaterini, gr. v. 
Alcoholis, fgiv. 
Dissolved by gentle heat. 
Misce. 

Sig. : One teaspoonful as dose and as indi- 
cated. 

I£ Strychninse sulphatis, gr. j. 

Sacchari lactis, q. s. 

Alcoholis, q. s. 
Misce. et fiant tabellse triturationes no. xxx. 
Sig. : One tablet three times a day and in- 
creased to four or five times daily. 

P* Tincturse aconiti, f3j. 

Sig. : Used as indicated to lower blood- 
pressure. 

P* Triturationes elaterini, gr. iij. 

Hydrargyri chloridi mitis, gr. xij. 
Misce et fiant chartulae no. vj. 
Sig. : One powder every hour until four are 
taken. 

P* Potassii iodidi, 3vj. 

Syr. sarsap. co., q. s. ad f§iij. 
Misce. 

Sig. : Forty drops every three hours. 
Indication : To absorb clot. 

P* Liq. potassii arsenit,, f3j. 

Syr. calcii lactophos., q. s. ad f^iij. 
Misce. 
Sig. : Two teaspoonfuls three times a day. 



38 Hand-Book of Modern Treatment. 

APPENDICITIS. 

I£ Magnesii sulphatis, 3j. 

Sig. : Give at one dose and repeat after a 
time if no result. 

Indication: To unload the bowels if opera- 
tion is refused. Icebag over painful area. 
Liquid diet. 

I£ Olei ricini, f§j. 

Sig. : Take in one dose and repeat if neces- 
sary. 

Indication: Same as the preceding. 

I£ Acidi hydrochlor. diluti, f3iv. 
Aquae, q. s. ad f^iij. 

Misce. 

Sig. : One teaspoonful after each meal. 

Indication: To aid digestion. Rest in bed. 
Icebag on abdomen, liquid diet, enema of soap 
water or oil, each day, in non-operative treat- 
ment. 

I£ Opii deodorata, gr. xx. 

Fiant pilulse no. xx. 

Sig. : One pill every four hours to relieve 
pains. 

Indication: Used in those refusing opera- 
tion and non-operative cases. 

Ifc Magnesii sulphatis, 3iij- 
Sig. : One tablespoonful in tepid water every 
three hours until bowels thoroughly moved. 

An icebag may be applied over the appendix 
to reduce inflammation, similarly to the treat- 
ment of ovaritis. Care must be exercised that 
the cold is not too continuously prolonged, as 
necrosis and sloughing may occur. The medical 
treatment requires constant care and is not a 
very safe procedure. 

TURPENTINE-OIL IN" INFLAMMATION OF TILE APPENDIX. 

Mayer, having used turpentine-oil with much success in a 
case of empyema, and believing that it possesses an antiphlo- 
gistic and absorbing quality, has employed it in cases of in- 



Hand-Book of Modern Treatment. 39 

flaiimiation of the appendix. He uses it in doses of several 
drops three or four times a day, given either in an emulsion with 
the yelk of eggs or in mixtures with brandy, sugar, tincture of 
cinnamon, or other substances. It has certain disadvantages, 
particularly the production of strangury, or, in cases of infiltra- 
tion of the lung, having a tendency to cause pulmonary haemor- 
rhage. Its advantages are that it diminishes the pain, causes 
the exudate to appear early, and probably stimulates the organ- 
ism to remove the cause of irritation. The histories of twelve 
cases are appended. 

ARTHRITIS.— See Rheumatism. 

ASCARIDES (ROUND WORMS). 

B Olei chenop. anthel., 3j. 

Fluidextracti spigelian et sennae, %ss. 
Santonini, gr. viij. 
Pulv. acacise, 3j. 
Syr. rhei arom., §j. 
Mi see. 

Sig. : Shake and take one teaspoonful an 
hour before each meal. After the last dose the 
following should be taken: — 

Ifc Olei terebinthinae, gtt. x. 

Olei rieini, §ss. 
Mi see. 
Sig. : To be taken at one dose. 

To children four or five years of age the following combina- 
tions are of service in the removal of roundworms: — 

R Fluidextracti spigelian, Sss. 

Fluidextracti sennae, §ss. 

Syr. simplicis, Sss. 
Misce. 
Sig. : One teaspoonful night and morning. 

R Fluidextracti spigelian, §ss. 

Santonini, gr. v. 

Fluidextracti sennae, §ss. 
Misce. 
Sig. : One teaspoonful twice a day. 



40 Hand-Book of Modern Treatment. 

The following combinations are sometimes recommended in 
the form of an enema in the treatment of ascarides: — 

IJ Olei cajuputi, m xx. 

Magnesiae levis, gr. x. 

Mucilaginis, 3iv. 
Misce. 
Sig. : At one dose in the form of enema. 

IJ Liquor calcis, giv. 
Decoct, althaeae, 3j. 
Misce. 
Sig.: As an enema. 

The roundworm, or ascaris lumbricoides, inhabiting, as it 
does, chiefly the small intestine, requires more especially internal 
treatment for its destruction and dislodgment. Santonin is 
regarded as the best preparation. It may be given in powder 
form as follows: — 

IJ Santonin, gr. ij. 

Hydrarg. chloridi mitis, gr. j. 
Sacch. lactis, q. s. 

Misce. 

Sig. : At one dose at bedtime or in solution 
according to Yeo, as follows: — 

IJ Santonin, gr. vj. 
01. ricini, 3iv. 
Syr. aurantii, 3iij. 
Mucil. acacia, 3vj. 
Aq. carui, q. s. ad £vj. 

Misce. 

Sig.: Take one-half of the amount in the 
morning while fasting. 

The oil of chenopodium was formerly used a great deal. 
It may be given in a mixture similar to the following : — 

3 01. chenopodii, mviij. 
01. ricini, 3ss. 
Mucil. acacise, 3iij. 

Misce. 

Sig. : One teaspoonful three times a day be- 
fore meals. 



Eand-Book of Modern Treatment. 41 



ASCITES.— See Dropsy. 



ASTHENIA. 

IJ Tinct. nucis vomicae, 3v. 

Elixiris calisayse, q. s. ad £vj- 
Misce. 

Sig. : One teaspoonful before meals. 
Indication: Useful in asthenia with loss of 
appetite. 

1$ Strychninse sulphatis, gr. j. 
Acidi hydrochlor. diluti, 3iv. 
Infus. gentianse comp., q. s. ad §viij. 
Misce. 

Sig.: One teaspoonful diluted three times 
daily. 

I£ Liq. arsenici chloridi, 3iss. 
Tinct. ferri chloridi, §j. 
Hydrarg. chloridi corrosivi, gr. j. 
Acidi hydrochlor. diluti, 3ss. 
Aquse, q. s. ad giv. 
Misce. 

Sig. : One teaspoonful diluted three times 
daily. 

Ifc Strychninse sulphatis, gr. j. 
Acidi phosphorici diluti, gij. 
Aquse, q. s. ad §iv. 
Misce. 

Sig.: One teaspoonful diluted three times 
daily. 

ty Elixiris ferri, quininse et strychninse phos- 

phatum, gvj. 
Sig.: One teaspoonful diluted three times 
daily after meals. 

B Elixiris phosphori, f£v. 

Sig. : One teaspoonful in water after meals. 



42 Hand-Book of Modern Treatment. 



Ifc Quininae sulphatis, gr. xlviij. 
Acidi hydrochlorici diluti, 3ij. 
Aquae, q. s. ad %\v. 

Mi see. 

Sig. : One teaspoonful in water after meals. 

Indication: Used in anaemia. 



IJ Tinct. nucis vomicae, 3ij. 

Tinct. gentianae comp., q. s. ad %iv. 
Mi see. 
Sig.: One teaspoonful three times a day. 



I£ Strychninae sulphatis, gr. j. 

Acidi phosphorici diluti, ^ij. 

Aquae, q. s. ad gv. 
Misce. 

Sig.: One teaspoonful in water three times 
a day. Use with care. 



ASTHMA. 

I£ Potassii iodidi, 3ij. 

Liq. ammon. anisati, 3j. 

Tinct. opii camphoratse, 3ij. 

Syrupi tolu, 3iv. 

Aquae, q. s. ad §iij. 
Misce. 

Sig. : Teaspoonful in water every two or 
three hours. 

Indication: Useful in an acute attack. 



Ifc Potassi iodidi, 3ij. 

Morphinae sulphatis, gr. j. 

Tinct. belladonnae, 3iss. 

Liq. ammon. anisati, 3iss. 

Syrupi tolu, q. s. ad §ij. 
Misce. 

Sig.: A teaspoonful in water every two or 
three hours. 

Indication: Useful in acute attacks. 



Hand-Book of Modern Treatment. 43 



IJ Pulveris potassii nitratis, 3j. 
Pulveris stramonii, 3ij. 
Pulveris lobeliae, 3ij. 
Pulveris belladonnas, 3ij. 
Pulveris grindeliae, 3ij. 
Pulveris hydrastis canadensis, 3j. 
Misce. 

Sig. : A teaspoonful of this is to be burned 
under an improvised tent. Inhale for ten to 
twenty minutes or until relieved. 

I£ Chloroformi, 3j. 

Morphinae sulphatis, gr. j. 

Pulv. gummi arabici, 3j. 

Syrupi simplicis, 3iv. 

Aquae, q. s. ad j^iv. 
Misce. 

Sig. : A teaspoonful every hour. 
Indication: When the dyspnoea is urgent 
this is very helpful. 

I£ Ammonii iodidi, 3iss. 

Ext. grindeliae robustae, f3vi. 
Tinct. lobeliae, 3iij. 
Tinct. belladonnae, 3iiss. 
Extracti glycyrrhizae, f§ij. 
Syrupi tolutani, q. s. ad §iv. 
Misce. 

Sig. : One teaspoonful in water three or 
four times daily. 



BRONCHIAL ASTHMA. 

In considering the treatment of bronchial asthma, the 
Practitioner calls attention to the importance of distinguish- 
ing it from the other forms of asthma, such as cardiac, renal 
asthma, hay asthma, thymic asthma, or laryngismus stridulus 
due to enlargement of the thymus gland. 

During the attack a little chloroform should be inhaled to 
produce rapid relaxation of the bronchial muscles. A powder 
consisting of pulverized belladonna, stramonium, and hyoscya- 
mus leaves with some potassium nitrate, burnt and the fumes 
inhaled, will often bring relief. An inhalation of from 3 to 5 



44 Hand-Book of Modem Treatment. 

minims of the nitrite of amyl from a crushed capsule frequently 
relieves the paroxysm. Between the attacks the following com- 
binations, containing potassium iodide, are recommended: — 

I£ Potassii iodidi, gr. x. 

Tinet. lobeliae, f3ss. 

Vini ipecacuanha, m xij. 

Aquae chloroformi, q. s. ad f^j. 
Misce et fiat mistura. 

Sig.: Two tablespoonfuls three times a day 
after food. 



1$ Potassii iodidi, gr. xij. 

Ext. stramonii, gr. y c . 

Spts. chloroformi, m xx. 

Spts. amnion, arom., m xx. 

Aquas, q. s. ad f§ss. 
Misce. 

Sig. : To be taken at one dose on retiring at 
night. 



Whiskey and a few minims of the spirits of chloroform 
often relax the bronchioles and check an oncoming attack. 

Combinations containing lobelia and also stramonium are 
recommended by some authors : — 

B Tinct. lobeliae, f3j. 

Tinct. belladonnas, f3j. 

Tinct. aconiti, m xx. 

Aquae cinnamomi, q. s. ad fSiij. 
Misce. 

Sig.: One tablespoonful every three or four 
hours until relieved. 

I£ Tinct: stramonii, f3iv. 

Tinct. aconiti, f3ij. 

Potassii bromidi, 3j. 

Aquae chloroformi, q. s. ad fSiij. 
Misce. 

Sig.: One teaspoonful in water at the be- 
ginning of the attack. 



Hand-Book of Modern Treatment. 45 

SPASMODIC ASTHMA. 

IJ Potassii iodidi, Siiss. 

Fid. ext. grindelise robustae, £j. 
Syrupi asafoetidae, Sj- 
Misce. 

Sig. : One teaspoonful every three hours. 
Syrup of lemon or orange peel with saccharin 
may be added to mask the taste. 

I£ Potassii nitratis, ^ss. 
Pulv. anisi fruct., 3ss. 
Pulv. stramonii fol., §j. 
Misce et fiat pulv. 

Sig. : Let patient inhale smoke of a thimble- 
ful of this powder, formed into a cone and 
lighted at the top. 

I£ Potassii nitratis, %ss. 
Pulv. stramonii flor., %]. 
Pulv. anisi fruct., 3ij. 
Pulv. lobelias inflatse, 3j. 
Pulv. fol. these sinemsis nig., 3j. 
01. eucalypti, m xv. 
Misce et fiat pulv. 

Sig. : To be burned as above, using a thim- 
bleful at a time. 

A good asthma powder for emergency use is one part by 
weight, of saltpetre and two parts of black tea, powdered. 

ASTHMA AND ADRENALIN. 

According to M. . Aronsohn, the painting of the mucous 
membrane of the nose with a solution of adrenalin (1-1000) 
arrests an attack of asthma in a very few minutes. It does not 
cure asthma, but affords rapid relief. If it were not possible 
to employ the solution, the following ointment might be sub- 
stituted : — 

IJ Sol. adrenalini, m xx-lx. 
Lanolini, 3j. 
Vaselini, oj. 
Misce. 

Sig.: About the size of a pea is introduced 
into the nostrils. 



46 Hand-Book of Modern Treatment. 

I£ Potassii iodidi, 3j. 

Tr. phytolaccse, 3ij. 

Tr. belladonnas, 3ij. 

Tr. sanguinariae, 3j. 

Aquae, q. s. ad £ij. 
Misce. 

Sig. : Half-teaspoonful every two hours until 
eased, then teaspoonful three times a day. 

In the humid variety, nitrate of sanguinaria, Y 50 grain, 
every two hours, will be found of benefit. 

In chorea, fluid extract of Scutellaria and cimicifuga, with 
bromide of soda, forms one of the best modes of treatment. 



CARDIAC ASTHMA. 

Osier advises comfortable bed rest; tapping for hydro- 
thorax; morphine for nocturnal dyspnoea with restlessness; 
nitroglycerine in increasing doses in mitral valvular disease 
without dropsy and with high pulse tension. A. H. Smith gives 
fluid extract of quebracho, raxx-xl t. i. d. In mitral insufficiency 
von Basch emphasizes the utility of light exercise adapted to the 
individual case; suitable diet; regular secretions and excre- 
tions ; digitalis and atropine. For the dyspnoea of mitral sten- 
osis Thomson recommends belladonna with compound spirit of 
ether. 

IJ Tinct. phytolaceae, gss. 
Potass, iodidi, 3j. 
Syrupus simplici, §ij. 
Misce. 

Sig.: One teaspoonful after meals and at 
bedtime. 

This will cure a large number of cases, but, as each is a 
law unto itself, it must be carefully studied, and, as the differ- 
ent symptoms come up, they must be treated. By so doing we 
can treat a large percentage of asthmatics with success. 

Exercise, gymnastics, walking, and bic}^cle. In the attack 
paint the nostrils at once with a 1 to 20 solution of cocaine 
hydrochlorate. Take a hot mustard foot-bath, with the hands 



Hand-Book of Modern Treatment. 47 

placed in very hot water. Smoke cigarettes "Epsic" or nitre- 
paper in a pipe, or burn the following mixture in a saucer : — 

B Potass, nitrat., gr. xlv. 
Pulv. stramonii, Ziy±. 
Pulv. fol. belladonnae, 3i%. 
Pulv. gelsemii, Ziy±. 

IODINE AND ARSENIC IN THE ASTHMA OF CHILDREN. 

Lemonnyer, following Comby, recommends as a prophylac- 
tic treatment between the crises, potassium iodide and arsenic 
in alteration: — 

Ifc Potassii iodidi, gr. lxxv. 

Aquae dest., ^iiiss. 
Misce. 

Sig. : A teaspoonf ul morning and evening in 
a little water. 

When this mixture is finished it is to be followed by : — 

B Sodii arsenatis, gr. x / 3 . 
Aquae dest., giiiss. 

Misce. 

Sig. : A teaspoonful morning and evening. 
After this a suspension for ten days is recom- 
mended, and then the treatment is to be re- 
newed. 

For treatment during the crises, besides the usual drugs, 
a careful use of morphine, fumigations of belladonna, hyoscya- 
mus, stramonium, internal use of lobelia inflata or grindelia 
robusta, the author finds inhalations of pyridine (a handkerchief, 
upon which a few drops have been poured, suspended from the 
child's throat) of great use. Powdered ipecac in a nauseating 
dose may abort the attack and arrest the spasm. 

I£ Codeini sulph., gr. iij. 

Fluidextracti grindeliae, 3iij. 
Syr. pruni serotinse, §iij. 
Misce. 

Sig. : A teaspoonful four times a day, and 
during the night if awake more than an hour 
at a time. 



48 Hand-BooTc of Modern Treatment. 

PASSIFLORA INCARNATA IN ASTHMA. 

From the department "Treatment of the Sick" in American 
Medicine, edited by Dr. Solomon Solis-Cohen, we extract the fol- 
lowing : — 

"Passion-flower (Passiflora incarnata) is not official in the 
United States Pharmacopoeia, and does not appear to have been 
well studied experimentally. Clinically it possesses hypnotic and 
antispasmodic powers, and in sufficient dosage it would prob- 
ably act as a narcotic poison. Even in moderate doses it may in 
some cases provoke nausea and emesis. The emetic properties 
may depend upon a different principle from that to which its 
sedative action is due. At all events, the combination of relax- 
ant influences gives it a peculiar value in allaying asthmatic 
paroxysms and in preventing their full development. It may 
be given in tincture or fluid extract. The dose is from 10 to 
30 minims well diluted and given from every ten minutes to 
every half -hour until relief is experienced, emesis caused, or 
drowsiness induced. We have never exceeded 1 / 2 fluidounce of 
the fluid extract in the course of two hours. Patients have 
fallen asleep after six doses of 10 to 20 drops each, given every 
ten or fifteen minutes, or after a single dose of 1 fluidrachm. 
In 2 out of 8 cases its use produced but slight mitigation of dis- 
tress and was abandoned. In 6 cases rebellious to other methods 
it gave prompt relief. 

Ifc Potassii iodidi, gr. xlviij. 

Sodii bromidi, gr. xlviij. 

Euphorbise piluliferse, gr. lxxij. 

Spiritus glycerylis nitratis, gr. 6 / 25 . 

Tinct. lobelia?, m xlviij. 
Misce et fiant pilulse no. xxiv. 
Sig. : One pill every three hours. 

I£ Sodii arsenatis, gr. iv. 

Pulv. eucalypti, 3j- 

Pulv. stramonii, §j. 

Pulv. hyoscyami, §j. 

Potassii nitratis, 5j. 
Misce. 

Sig. : Burn a half teaspoonful and inhale the 
fumes. 



Hand-Book of Modern Treatment. 49 

IJ Chloralis hydra tis, 3iij. 

Sodii nitritis, 3ss. 

Tinct. stramonii, 3j. 

Syrupi glycyrrhizse, q. s. ad Sij- 
Misce. 
Sig. : One teaspoonful every four hours. 

I£ Hyoscinae hydrobromatis, gr. x / 6 . 

Morphinse sulphatis, gr. %. 

Sodii bromidi, 3vj. 

Liq. potassii arsenitis, 3ij. 

Tinct. digitalis, 3iv. 

Infus. gentianse comp., q. s. ad §vj. 
Misce. 

Sig.: Dessertspoonful in water every three 
hours. 



IJ Pulv. stramonii, 3vj. 

Pulv. belladonnas fol., 3vj. 

Pulv. potassii nitrat., 3ss. 

Pulv. opii, gr. xv. 
Misce. 

Sig.: To be used in the form of a fumiga- 
tion. 



Internally the iodides are of great service in chronic 
asthma, given as follows, according to FothergilPs formula: — 

ffc Ammon. iodidi, 3iss 

Ammon. bromidi 3ij. 

Syr. tolutani, §ij. 

Tinct. lobelias, giij. 
Misce. 

Sig. : One teaspoonful in water three or four 
times a day. 

I£ Acidi oxalici, gr. xxx. 
Sodii bicarb., gr. xlviij. 
Syr. aurantii, §ij. 
Misce. 

Sig. : One tablespoonful every hour. 
Indication : Used in treatment of asthma 
and capillary bronchitis. 

4 



50 Hand-BooJc of Modern Treatment. 

IJ Potassii iodidi, 3ij. 

Tr. belladonnse foliorum, f3ij. 
Aquse, q. s. ad fSiij. 
Misee. 

Sig. : One teaspoonftil with tablespoonful of 
essence of pepsin in water, every three -hours, 
until permanent relief. 

Indication: Used in bronchial asthma. 

IJ Tr. gelsemii, gj. 

Tr. lobeliae, gj. 

Potassii bromidi, §ss. 
Misce. 

Sig. : Twenty drops in water every three 
hours. 

IJ Potassii iodidi, gr. ij. 

Sodii bromidi, gr. ij. 

Euphorbia? piluliferae, m iij. 

Spiritus glycerylis nitratis, gr. l / m . 

Tinct. lobelia?, m ij. 
Misce. 
Sig.: One such every three hours. 

IJ Tinct. digitalis, f3j. 

Tinct. strophanthi, m xxiv. 

Spiritus glycerylis nitratis, m xxv. 

Tinct. cardamomi, q. s. ad f^iij. 
Misce. 

Sig. : Teaspoonful three times daily. 
Indication : Very useful in period between 
attacks. 

BACKACHE. 

IJ Olei camphoratis chamomile, f3v. 

Olei hyoscyami, f3v. 

Extracti belladonna 4 , gr. xv. 

Extracti apocyni, gr. xv. 

Extracti opii, gr. xv. 

Mentholis, gr. xxx. 

Chloroform!, nt lxxv. 
Misce. 

Sig.: This is to be lightly rubbed in and 
flannel impregnated with the liniment bound 
upon the part. 

Indication: Backache or neurasthenics. 



Hand-Book of Modern Treatment. 51 

Writing of the differential diagnosis between muscular 
rheumatism and sprained back, Dr. J. Schneck states that in the 
former the pain is often one-sided, in the latter usually two- 
sided ; and in the latter fever is present, as a rule ; in the former 
rarely. 



BATHS. 

THE BRAND METHOD. 

This standard for treating typhoid fever consists essenti- 
ally in cold baths (65° to 70° F.), with friction through sheet, 
and stimulants, if necessary, whenever the temperature is 
102 1 / 2 ° F. or higher. Water should be poured over the head 
to lessen shock on entering the bath. The patient is taken out 
in fifteen or twenty minutes, wrapped in a dry sheet, and cov- 
ered with a light blanket. These baths are contraindicated only 
in peritonitis or intestinal haemorrhage. It is not necessary to 
renew the water more than once in twenty-four hours. 

BATHS FOR INFANTS. 

Dr. A. Jacobi teaches that, while during the early days 
of an infant a cold or even cool bath should not be given, yet 
after a few months, and by carefully graduating down the tem- 
perature of the water, a cool or cold bath can, and should be 
used for infants, especially during the hot season. He believes 
that cold bathing promotes a very strong and healthy resistance 
to diseases, especially the enervating diseases of hot weather. 

RULES FOR BATHING. 

Cold baths should never be taken when the body is fatigued, 
even during the summer. A warm or hot bath will always re- 
lieve fatigue, or muscular or nervous irritability and restless- 
ness. Baths of any kind should not be taken within two hours 
after finishing a meal, and a meal should not be taken within 
one hour after a bath. In the latter case, it takes an hour at 
least for the complete reaction to take place and the circulation 
to become evenly distributed again. Bathing too soon after eat- 
ing interferes with the digestive processes. 



52 Hand-Book of Modern Treatment. 



SCIENTIFIC BATHING. 

Bathing affects the nervous and circulatory systems of the 
skin. Hot baths cause vasomotor dilatation in the skin, with 
relative withdrawal of blood from internal organs. After the 
bath this process gradually becomes reversed. This assists the 
assimilation of food, causes the ingestion of more food, and in- 
creases the body-weight, when regularly repeated over a long 
period of time. Cold baths, with active exercise, cause peri- 
pheral vasomotor constriction, followed by a gradual dilatation. 
Exercise has a similar but localized effect. Baths are of most 
benefit in the infectious diseases for reducing temperature and 
overcoming nervous symptoms. They are also indicated for 
chronic inflammatory changes, circulatory disturbances, venous 
stasis, etc. 



TEMPERATURE OF THE BATH. 

Friedrich Grosse believes that much confusion has arisen 
through a too loose use of terms. A warm bath, which is seda- 
tive in action, is a bath the temperature of which ranges between 
98° and 100° -F. A hot bath, which is stimulating in action, is 
a bath with a temperature ranging between 107° and 113° F. 
The full hot bath, he says, gives good results in a large class 
of diseases. As a rule, it should not be employed when pus is 
present or when there is a lesion of the central nervous system. 
The action of the hot bath is based upon: (1) a powerful stim- 
ulation of the entire nervous system for a brief period; (2) 
an intense revulsion of circulation, leading to hyperemia of the 
skin and ansemia of inner organs; (3) a perspiration more 
abundant than after any other form of bath; (4) a raising of 
metabolism; and (5) the creation of leucocytosis. 



CLASSIFICATION OF BATHS ACCORDING TO TEMPERATURE. 

While a classification of baths according to temperature 
must necessarily be more or less arbitrary, the following classi- 
fication is a very convenient and practical one: — 



Hand-Book of Modern Treatment. 53 

Very cold 32° F. to 55° F. 

Cold 55° F. to 65° F. 

Cool 65° F. to 80° F. 

Tepid 80° F. to 92° F. 

Warm (or neutral, 92° to 95°) 92° F. to 98° F. 

Hot 98° F. to 104° F. 

Very hot 104° F. and above. 

ARTIFICIAL SEA BATH. 
I£ Sea salis, 3viij. 

Sodii sulphatis, 3iiiss. 

Calcii chloridi, 3vij. 

Magnesii chloridi, 3iij. 

Aquae, q. s. ad Oviij. 
Misce. 



BED-SORES. 

TO PREVENT BED-SORES. 

IJ Alumin., gss. 

Sodii chloridi, §ss. 

Aquae, 1 pint. 

Aleoholis, 1 pint. 
Misce. 
Sig. : Use twice a day locally. 

Ifc Zinci sulphatis, gr. xlv. 

Plumbi acetatis, gr. xxx. 

Tinct. myrrhae, mxx. 

Petrolati, q. s. ad §ij. 
Misce. 
Sig. : Use twice a day locally. 

IJ Argenti nitratis, 3j. 
Aquae destillatae, %iv. 
Misce. 

Sig. : Apply to red and tender spots. 
Indication: To be applied over red, sore 
spots. 

1$, Tinct. ferri chloridi, §ij. 
Sig. : Fifteen minims every four hours. 
Indication: Suppository if ulcers slough and 
are large. 



54 Hand-Book of Modern Treatment. 

NEW REMEDY EOR BED-SORES. 

Dr. Strater recommends the application to the injured area 
of a piece of felt, ten centimeters long and twelve centimeters 
broad, with an opening about four centimeters in diameter. The 
upper surface is supplied with some adhesive material so that it 
shall stick well to the skin, and not become loosened with the 
movements of the patient, while protecting the bed-sore from 
every pain and pressure. In from five to six days, without any 
other medication, the dried crust falls off, leaving normal skin 
beneath. The method has proved of excellent service in several 
cases that the author reports, without any disadvantages. 

BILE-PIGMENT. 

Presslich says that he has found a method which, for prac- 
tical purposes at least, presents many advantages over the test 
for bile in the urine usually employed. It consists simply in 
adding to the suspected urine a few drops of fuming nitric acid, 
and stirring. In the presence of bile-pigment a well marked 
green color is produced. Comparison with Gmelin's and Kosin's 
tests showed that the author's method yields more satisfactory 
results. It does r»ot react to urobilin, nor to the substances oc- 
curring in the urine of patients who have been taking rhubarb, 
salol, aspirin, sodium salicylate, or antipyrine. The simplicity 
of the test, the ease of performance, and the fact that large quan- 
tities of urine may be turned green by the use of 15 to 20 drops 
of the acid, so that the color is easily recognizable, renders it a 
useful method for everyday use. 

BILIOUSNESS. 

1$ Tinct. euonymi (Lloyd's), gj- 

Tinct. chionanthi, §ss. 

Tinct. dioscorese, §ss. 
Misce. 

Sig. : Fifteen to sixty minims every three 
or four hours until bowels act well. 

R. Ammonii chloridi, gss. 
Fiant chartulae no. xlviij. 
Sig. : Give five grains three times a day. 
Indication: Biliousness associated with ca- 
tarrh of stomach, intestines, or bile-ducts. 



Hand-Book of Modern Treatment. 55 



I£ Resinse podophylli, gr. 3. 

Sacchari lactis, gr. x. 
Misce et fiant chartulse no. x. 
Sig. : One powder morning and evening. 
Indication: To relieve constipation. 



IJ Hydrargyri chloridi mitis, gr. j. 
Sodii carbonatis, gr. xx. 

Misce et fiant chartulse no. vj. 

Sig. : One every fifteen minutes, followed in 
tour hours with saline. 

Indication: When constipation, slight drow- 
siness or languor after meal is present. 



I£ Podophyllin, gr. v. 

Euonymi, gr. ix. 

Leptandrini, gr. ix. 

Ext. chiratae, gr. xlv. 

Creosoti, gr. xj. 
Misce et fiant pilulse no. xxv. 
Sig. : One pill each night. 



BITES AND STINGS OF INSECTS. 

TO GUARD AGAINST THE BITE OF THE MOSQUITO. 

Mcintosh recommends an application which he has used 
for some years when out fishing or hunting in the swamps where 
mosquitoes are prevalent, and in the evenings when sitting out- 
of-doors, and which he has found to be most excellent and effi- 
cient; it is the oil of citronella (oil of verbena, Indian melissa- 
oil). It has a very pleasant odor, and is not expensive. The 
oil should be rubbed into the exposed parts and repeated occa- 
sionally, or the following is quite as efficient : — 

I£ Olei citronellae, 3ij. 

Alcoholis, 3ij. 
Misce. 

Sig. : Apply freely to face, neck, hands, and 
ankles to prevent mosquito biting. 



56 Hand-Book of Modern Treatment. 

I£ Spiritus aetheris nitrosi, 3j. 
Infusi digitalis, 3j. 
Spiritus vini gallici, 3j. 
Misce. 

Sig. : One to two teaspoonf uls in water every 
two or three hours. 

Indication : Bites and stings of insects. 

I£ Aquae ammonias, f£j. 

Aquae, q. s. ad f^v. 
Misce. 

Sig.: Inject into vein. 

Indication: To be employed in urgent cases 
of snake-bite. 

I£ Potassii permanganatis, gr. xx. 

Aquae destillatae, f^iiss. 
Misce. 

Sig. : Inject into wound and around it freely. 
Indication: Snake-bite, and give whisky also 
to overcome depressing effect. 

BITING THE FINGER-NAILS. 

Generally, individuals who are addicted to this habit show 
symptoms of degeneracy. They present undergrowth, are slow, 
drowsy, unreliable, and have defective teeth. The treatment 
of onychophazia is indicated and requires careful observation on 
the part of parents and physicians ; in many individuals paint- 
ing the finger-nails and the tissues around them with tincture 
of quassia has brought good results. The extremely bitter taste 
of quassia prevents the child from putting the finger in the 
mouth, and in many instances we know a cure to have been 
effected. 

BLADDER AFFECTIONS.— See Cystitis. 

IJ Acidi benzoici, 3iv. 

Acidi borici, 3iv. 

Alcoholis, f3iv. 

Tinct. hyoscyami, f3ij. 

Syrupi pruni virginianae, fgij. 

Syrupi aurantii, f£iss. 

Aquae destillatae, q. s. ad f^vj. 
Misce. 

Sig.: A dessertspoonful every four hours, 
followed by a glass of water. 
Indication: Irritable bladder. 



Rand-Book of Modern Treatment. 57 

I£ Phenylis salicylatis, 3ij. 
Tinct. hyoscyami, f3ij. 
Iniusi buchu, q. s. ad f^vj. 
Misce. 

Sig. : Tablespoonful three times a day. 
Indication: Irritable bladder after confine- 
ment. 

METHOD TO EMPTY THE BLADDER. 

To empty the bladder when partially paralyzed from par- 
turition or any other cause, throw a large amount of very warm 
water into the bowel, thereby doing away with the necessity of 
using a catheter; and the bowel and bladder will empty them- 
selves at the same time. 

BLADDER IN" ALCOHOLIC COMA. 

In alcoholic coma always investigate the bladder. It is apt 
to be very full. If there is no stricture the urine would drain 
itself out after awhile, but if prostatic or other stricture should 
exist, a rupture of the bladder might take place. 

TO PREVENT RECURRENCE OF STONES IN THE BLADDER. 

Guyon writes that the task of the surgeon in case of stone 
in the bladder is far from being restricted to the mere removal 
of the stone. The accompanying cystitis must be cured and the 
recurrence of stones prevented. Experience has demonstrated 
that the presence of calculi is no obstacle to the attenuation, and 
even cure of a cystitis, if it is secondary ; also, that the removal 
of the stones does not necessarily cure it. Local treatment 
is imperative both before and after the operation, especially 
when the cystitis is old and severe. Instillations are usually all 
that can be borne at first, followed by fractioned irrigations as 
soon as possible. Some cases allow the irrigations to be com- 
menced from the start, followed by instillations. Calculi do not 
contraindicate a permanent sound. If the bladder is painful or 
hemorrhagic, it may be necessary to evacuate the organ without 
leaving it empty, replacing each portion of urine withdrawn 
by the same amount of a tepid solution of boric acid. This 
topical treatment may relieve without anodynes, but sometimes 



58 Hand-Book of Modern Treatment. 

a suppository or injection of an opium or antipyrine solution 
may be necessary. This treatment of the cystitis may require 
one or two weeks, the criteria being the number of micturitions, 
the capacity of the bladder, and the acidity of the urine. The 
urine becomes less infectious, and it is possible to avoid febrile 
accidents. 

Silver nitrate is the best of all measures. It seems to have 
an elective action on pyogenic bacteria and on the urobacillus 
liquefaciens, and is especially active when the urine ceases to 
be acid. Silver nitrate restores normal acidity to the urine, and 
this is the most certain means to prevent the recurrence of sec- 
ondary calculi. Mineral substances become insoluble in an ab- 
normal urine. Patients operated on should be cautioned not to 
neglect to test the reaction of their urine frequently with litmus- 
paper, and resume the silver nitrate if the acidity is diminishing, 
and continue it until the urine turns the litmus-paper red. This 
opposes a chemical barrier to the causes of the precipitation of 
the phosphates. General hygienic measures are of great im- 
portance, avoiding alcohol and rich food, alkaline water, and the 
tartrates of lime and magnesia, and a diet too abundant in vege- 
tables. The patients should return once a week for repeated 
verification and successive evacuations. 



BLEPHARITIS. 

I£ Acidi salicylici, gr. v. 

Unguenti hydrargyri oxidi flavi, 3j. 

Unguenti aquae rosae, 3iij. 
Misce. 

Sig. : Apply locally. 
Indication: Blepharitis of children. 



FOR SQUAMOUS BLEPHARITIS. 

This occurs in connection with seborrhcea of the scalp, and 
gives rise to small crusts at the ciliary border of the eyelid. A 
sulphur ointment serves as the most effective means of cure, 
but is apt to cause a burning sensation and lacrymation by en- 
tering the conjunctival sac. Terrien advises, therefore, a weak 
preparation, such as the following: — 



Hand-Book of Modern Treatment. 59 



I£ Sulphuris praecip., gr. iij. 

Petrolati, 3v. 
Misce et fiat unguentum. 
Sig. : External use. 

I£ Sodii boratis, gr. xv. 
Aquae destillatas, f3ij. 
Misce. 

Sig. : Apply freely to margin of lids. 
Indication: To remove crusts and scales. 

IJ Acidi borici, 3j. 

Aquas destillatae, §ij. 
Misce. 

Sig. : Wash out eye every three or four 
hours. 

BLEPHAROSPASM. 

1$, Hyoseyami hydrobromidi, gr. j. 

Aquae destillatae, 3iv. 
Misce. 
Sig. : Four drops three times daily. 



BOILS.— See Abscess. 

ABORTIVE TREATMENT OF BOILS. 

G-allois advises for this purpose that the boil be painted 
with a concentrated solution of iodine in acetone. This sol- 
vent takes up four times as much iodine as alcohol does, and its 
use on a boil is followed by the formation of a brown scab, under 
which the inflammation subsides. The solution should be kept 
for some weeks before it is used. 

TO TREAT BOILS. 

Much relief from boils has been derived from an ointment 
containing 5 or 10 grains of phenol, 1 or 2 drachms of fluid 
extract of ergot, 2 drachms each of powdered starch and zinc 
oxide, and 8 drachms of rose-water ointment. The mixture is 
spread on a moderately thick layer of absorbent cotton, which is 
held in place by strips of plaster at the sides of the boil. 



60 Hand-BooJc of Modern Treatment. 

NOVEL METHOD OE TREATING BOILS. 

W. E. Smith employs the following method in the treat- 
ment of boils and thinks it greatly superior to poultices, the ma- 
jority of local applications, and internal medication. He takes 
a piece of soft linen or borated gauze, rubs some vaseline upon 
one side of it, quickly pours on it some chloroform, applies it to 
the unopened boil or carbuncle, and places a bandage over all. It 
smarts a little at first, but this is soon succeeded by a pleasing, 
cool sensation. The patient is given a bottle of the remedy and 
directed to change the cloth often. In from two hours to one 
day the boil (no matter how indurated) softens and opens. 

The advantages claimed for this method are: (1) the pain 
is relieved from the first, (2) a painless opening, (3) it avoids 
shocking the patient, (4) it heals more rapidly than after any 
other method yet used, and (5) it makes a patient who fears 
a knife the doctor's everlasting friend. 

TO ABORT BOILS. 

Dr. Ochme covers the affected area freely with collodion, 
containing from 1 / 2 to 2 grains of salicylic acid to the drachm. 
This application is repeated two or three times in twelve hours. 

Another abortive method which is used with almost mirac- 
ulous results is the application of electricity to the area, after 
painting freely with colorless tincture of iodine. This is par- 
ticularly desirable where abscess-formations are present on 
the face. 

I£ Iodoformi, gr. v. 

Phenylis salicylatis, gr. viij. 

Phenolis, gr. iss. 

Spt. setheris, 3ss. 

Alcoholis, 3iss. 
Misce. 

Sig. : Ten drops to be injected into the dis- 
eased tissue. 

Inject the following directly into the boil : — 

B Iodi, 3j. ' 

Acetoni, 3iiss. 
Misce. 

Sig.: Paint boil once daily. Repeat in 
twenty-four hours if required. 



Hand-Book of Modem Treatment. 61 

B Ichthyolis, 3j. 

Emplast. plumbi, 3ij. 

Emplast. resinae, 3ij. 
Misce. 
Sig. : Apply to part. 

BRIGHT 'S DISEASE.— See Nephritis. 
BROMIDROSIS. 

IJ Formaldehydi ( 40-per-cent. sol.), 3ij. 

Adipis lanse hydrosi, 3j- 
Misce et fiat unguentum. 
Sig.: Apply twice daily. 

Indication: Used in bromidrosis of feet and 
axillse. 

FORMALDEHYDE SOLUTION IN SWEATING FEET. 

Bromidrosis and hyperidrosis of the feet can be more 
quickly relieved and cured by a solution of formaldehyde than 
by any other remedy. The use of the drug combined in a 
powder is not as beneficial as when strong solutions are applied. 
Formaldehyde, 40 per cent., applied pure, is the most effective, 
but mixed with water, one part to five, and applied at bedtime 
for a week, will cure some of the most obstinate cases. Three 
applications of the pure solution are about as effective as seven 
of the dilute solution, but it is much more painful. Between the 
toes and on the top of the feet should not be painted as often as 
the soles and heels. The odor disappears almost at once, and 
the trouble rarely recurs. 

Ifc Pulveris talci, giss. 

Bismuthi subnitratis, §iss. 

Potassii permangan., gr. *4. 

Sodii salicylatis, gr. xxx. 
Misce. 
Sig. : Apply over feet and between toes. 

1$. Formaldehydi (40 per cent, sol.), 3j. 

Acidi salicylatis, 3j. 

Pulveris talci, giv. 
Misce. 
Sig. : Sift into the stocking each morning. 



62 Hand-Book of Modern Treatment. 

This seems to harilen and toughen the skin, and is useful 
whenever the feet are tender from any cause. 

BRONCHITIS. 

IJ Ammonii earb., 3ss. 

Tinct. hyoscyami, f3iv. 

Codeinse sulph. 3 gr. ij. 

Syrupi pruni virginianse, 3ij. 

Aqu* camphorae, q. s. ad 3ij. 
Misce. 

Sig. : One teaspoonful every two hours. 
Indication: Used in early stage and unpro- 
ductive cough. 

Bronchitis frequently begins with an acute cold in the head, 
coryza, and perhaps pharyngitis, with symptoms of general 
malaise, fever, and muscular pain. There are also cases with 
laryngitis rapidly extending to the bronchi and others begin- 
ning primarily in the bronchi. In the first class, if there is 
much headache and frontal pain, the following is recommended : 

IJ Camphorae, gr. j. 

Ext. belladonna?, gr. V 5 . 

Quininae sulph., gr. i-ij. 

Morph. sulph., gr. 1 / 40 . 
Misce et fiat capsula no. j. 
Sig. : One such capsule every half-hour for 
four doses. Then one every three hours. 

IJ Olei picis liq., m xv. 

Fluidextracti marrubii (horehound), 3ss. 

Olei anisi, m j. 

Spts. frumenti, §j. 

Mellis despumati, q. s. ad Sij- 
Misce. 

Sig. : One-half to one teaspoonful three or 
four times a day. 

IJ Vini antimon., 3iv. 

Spir. chloroformi, 3iv. 

Spir. amnion, arom., %]. 

Liq. ammon. acet., §ij. 

Aqua?, q. s. ad §viij. 
Misce. ** 

Sig. : One tablespoonful every hour. 
Indication: Capillary bronchitis. 



Hand-Boole of Modem Treatment. 63 



B Amnion, carb., gr. iij. 
Pot. iodidi, gr. iij. 
Liq. ammonii acetatis, 3ij. 
Aquae caniphorae, Sj. 
♦ Misce. 
Sig. : The entire amount to be taken once in 
four hours. 

Indication: Used in acute stage of the dis- 
ease. 



In aged individuals there is frequently a tendency to 
heart-failure, so that alcohol or strychnine may be in demand, 
or the following mixture may be of service in such cases : — 

B Spts. aetheris sulph., gtt. xv. 

Spts. ammon. arom., gtt. xv. 

Syr. aurantii, 3ss. 

Aquae camphorae, §j. 
Misce. 
Sig. : One such dose every four hours. 

If necessary a few drops of the tincture of digitalis may be 
added to the foregoing combination. 

I£ Acidi nitrici dil., gtt. x. 
Tinct. nucis vom., gtt. v. 
Spts. chloroformi, gtt. x. 
Infus. gent, comp., %]. 
Misce. 

Sig. : One such dose to be taken after each 
meal. 

Indication : During convalescence after cough 
is loosened up, this acid tonic is indicated. 

B Tinct. cinchonae, m xx. 

Acidi nitrici dil., m x. 

Syr. aurantii, 3j. 

Aquae chloroformi, §j. 
Misce. 

Sig. : One such dose after each meal. 
Indication: Stimulating tonic after cough is 
loosened. 



64 Hand-Book of Modern Treatment. 

In some cases quinine is indicated; in others some prepar- 
ation of iron. In children a compound syrup of the phosphate 
of iron is useful. Malt extract and cod-liver oil are also of 
service. In debilitated individuals, when the earlier stages are 
not encountered, the following is recommended : — 

I£ Amnion, carb., gr. xl. 

Vini ipecac, m xl. 

Tinct. cinchonae, 3iv. 

Aquae chloroformi, q. s. ad fviij. 
Misce et fiat mistura. 
Sig. : Two tablespoonfuls every four hours. 

IJ Tinct. aconit., m xxiv. 

Spiritus aether, nitrosi, 3ij. 
Aquae destillat., q. s. ad f^j. 
Misce. 

Sig. : Half teaspoonful to a child every hour. 
Indication: Rub chest of child with camphor 
liniment and give the above in acute stage. 

1$ Ammonii chloridi, 3iv. 

Fluidextracti glycyrrhiz., f3iv. 
Aquae destillat., q. s. ad £vj. 
Misce. 

Sig. : Two teaspoonfuls every three hours. 
Indication: Used in subacute stage with 
tenacious mucus. 

I£ Amnion, chloridi, 3j. 

Fluidextracti glycyrrhiz., f§j. 

Codeinae sulphatis, gr. iv. 

Aquae destillat., q. s. ad f§ij. 
Misce. 

Sig. : Teaspoonful every two hours in water. 
Indication: When cough is excessive and no, 
or scanty, expectoration. 

I£ Terpin. hydrat., gr. ij. 

Ext. cannab. indicae. gr. V^. 

Codeinae, gr. %. 

01. menth. pip., gtt. %. 

Sacchari albi, gr. iij. 
Misce et fiat capsula no. j. 
Sig.: One every four hours until the cough 
is relieved. 

Indication: Used when cough is excessive. 



Hand-Book of Modern Treatment. 05 

3 Potas. iodidi, 3iss. 
Potas. bicarb., 3iss. 
Ammon. chloridi, gr. xlv. 
Ext. glycyrrhizse, q. s. ad 5ij- 
Misce. 

Sig. : One teaspoon ful in water four times 
daily. 

Indication : To relieve dyspnoea, difficult 
cough, and tenacious expectoration. 

I£ Sodii bicarb., gr. xv. 

Sodii chloridi, gr. v. 

Spts. chloroformi, gtt. x. 

Aquae anisati, q. s. ad 3ss. 
Misce. 

Sig. : One dose in warm water when waking. 
Indication : Morning cough and difficulty in 
raising mucus. 

I£ Syr. picis liquidse, gij- 

Syr. pruni Virginians, q. s. ad §iij. 
Misce. 

Sig. : Two teaspoonfuls every three or four 
hours. 

I£ Potass, iodidi, 3iv. 
Syr. ferri iodidi, §iss. 
Glycerini, q. s. ad giiiss. 
Misce. 

Sig. : One tea spoonful in milk or water after 
each meal. 

Indication : Useful in chronic bronchitis and 
pleurisy. 

I£ Morphinae sulphatis, gr. j. 

Ammonii carbonatis, gr. xxx. 

Mist, glycyrrhizse comp., f3xv. 

Syr. pruni virginianae, f3iv. 
Misce. 

Sig. : One teaspoonful in water every three 
hours to relieve cough. 

I£ Acidi benzoici, 3j. 

Tannin, 3ss. 
Misce et facant chartulae no. xij. 
Sig. : One powder four times daily. 
Indication: Used in bronchorrhoea. 

5 



65 Hand-Book of Modern Treatment. 

Ifc Sodii benzoatis, gr. xxx. 

Terpini Irydratis, gr. iij. 

Syrupi tolu, §j. 

Syrupi acacise, q. s. ad §iv. 
Misce. 

Sig. : Teaspoonf ul every three hours. 
Indication: Subacute bronchitis of children. 

I£ Copaibse, gtt. xx. 

Pulv. opii, gr. ij. 

Pulv. aeacise, q. s. 
Misce et fiant capsular no. x. 
Sig. : One every three hours. 

I£ Copaibse, gr. xx. 

Acidi gallici, gr. xxx. 

Pulv. aeacise, q. s. 
Misce et fiant capsulse no. x. 
Sig. : One every three hours. 
Indication: Useful in bronchorrhcea. 

BRUISES. 

OLIVE-OIL IN BRUISES. 

In the treatment of contusion where there is extensive dis- 
coloration of the skin, if olive-oil be freely applied without rub- 
bing, the discoloration will quickly disappear. Absorbent cot- 
ton may be soaked in the oil and applied. If the skin is 
broken, a little boric acid should be applied over the abrasion. 
A black eye thus treated can be rendered normal in a few hours, 
especially if the oil be applied warm. 

B Tinct. opii, Sj- 

Liquoris plumbi subacetatis, §j. 
Aquse destillatse, q. s. ad Sxvj. 
Misce. 

Sig. : Apply freely on old soft rags or lint. 
Must not be employed if the skin is broken. If 
skin is broken, part must be dressed antisep- 
tically and hot or cold applications made. 

1$. Potass, chlorat., 3ss. 

Tinct. iodi, 3ss. 

Aquae, §ss. 
Misce. 
Sig.: Apply locally. 



Hand-Book of Modern Treatment. 67 



I£ Spiritus camphorse, Sj- 

Tincturse arnicae, %i]. 

Aquae haniamelidis, q. s. ad §xvj. 
Misce. 

Sig. : May be used with, gentle friction or 
applied with lint. 

I£ Ammonii chloridi, gr. lxxx. 
Alcoholis, Sxvj. 

Sig. : Evaporating lotion. A clean piece of 
linen is to be spread over injured part and kept 
wet with the lotion. 

BUBO. 

B Ichthyolis, 3j. 

Ung. hydrargyria 3ij. 

Ung. belladonnae, 3j. 

Petrolatum, q. s. ad §j. 
Misce. 
Sig. : Apply over bubo. 

I£ Phenolis, gr. viij. 

Aquae destillatae, fSj. 
Misce. 

Sig. : Inject six or eight minims in bubo. 
Indication: To abort bubo. 

Ifc Aquae hydrogenii dioxidi, %v. 

Sig. : Wash freely or inject in small quan- 
tities. Inject until froth is perfectly white 
again. 

B Iodoformi, gr. cc. 

Petrolatum molle, giv. 
Misce. 
Sig. : Inject and fill entire cavity. 

I£ Tincturae iodi, f3A T i. 

Sig.: Paint over swollen gland and repeat 
several times at intervals. 

BUBONIC PLAGUE. 

1$. Hoffkine's prophylactic vaccine. 

Indication: Used in doses of from 3 to 5 
cubic centimeters as prophylactic against plague. 
Administered subcutaneously and repeated in 
fourteen days. This renders person immune 
for about six months. 



Hand-BooU of Modern Treatment. 



BUNIONS. 

1$ Liquoris plumbi subacetatis, §iss. 

Tincturae opii, §iss. 

Aqua destillata?, q. s. ad Sviij. 
Misce. 

Sig. : Local use. Apply freely on soft cloths. 
Indication: Used to relieve pain and inflam- 
mation. 

I£ Acidi salicylici, gr. xv. 
Petrol ati, Sj. 

Misce. 

Sig.: Apply freely for several nights. Then 
soak foot in hot water and remove softened 
scale. 

These painful enlargements, according to the Philadelphia 
Medical Times, are amenable to treatment by applying static 
sparks and galvanic applications with cocaine. If simply pain- 
ful, a fine static spark drawn through the shoe will suffice. In 
making the static application, a point in the center of the bunion 
will be found to be anaesthetic. Concentrate the sparks at this 
point until the patient feels the current. This may be repeated 
once or twice daily. The anodal spark has been used as a rule, 
but it seems to be the rapid vibrations that are beneficial; con- 
sequently either electrode may be applied with the rapid vibra- 
tion. 

BURNS AND SCALDS. 

R Acidi picrici, gr. xxxviiss. 
Aquse dest., Sviij. 

Misce. 

Sig. : Apply on gauze constantly saturated 
with this solution, cover with absorbent cotton, 
and bandage. 

Indication: To relieve pain and promote 
healing in superficial burns. 

I£ Phenolis, 3ss. 

Olei lini, fgiv. 

Liq. calcis, f§iv. 
Misce. 

Sig. : Shake and apply on lint. 
Indication: Burns of first degree. 



Band-Book of Modem Treatment. G9 

I£ Ext. opii, gr. viiss. 

Ichthyoli, i'3iv. 

Liq. petrolati, f3vj. 

Lanolini, 5vj. 
Misce. 

Sig. : Apply locally on gauze in burns of 
first degree. 

I£ Ichthyoli, m xlv. 

Olei olivse, f3ij. 

Lanolini, giij. 
Misce. 

Sig. : Apply locally to burns of the third 
degree. 

Ifc Cocainae hydrochloratis, gr. x. 
Camphorse carbolatis, 3j- 
Olei olivse, §j. 
Misce. 

Sig. : External use. The cocaine to be thor- 
oughly dissolved in the carbolate of camphor 
before adding olive oil. Painful burns are 
quickly relieved. 

R. Cocainae hydrochlor., gr. x. 

Liq. petrolati, f3iij. 

Lanolini, 3ij. 

Aquse destillatse, f3v. 
Misce. 
Sig. : Apply freely on painful surface. 

After washing the surface of the burn by allowing a solu- 
tion of 1 drachm of common soda dissolved in a pint of tepid 
water to run from a sponge over the surface, apply the follow- 
ing prescription : — 

B> Bismuthi subnitratis, 3j. 
Vaselini, §j. 
Acidi carbolici, in v. 

Misce. 

Sig.: This added thickly and covered with 
a light dressing will relieve pain instantly. 

Indication: To relieve pain and keep burns 
from scarring. 



70 Eand-Booh of Modern Treatment. 

Baer records a severe burn in a child, 6 years old, with re- 
sults of treatment. The wound was caused by matches, with 
which the clothes were set on fire. The injury extended from 
the ninth rib on the left side to the axilla and thence to the 
elbow. The pain was most excruciating, and was relieved only 
by sustained treatment with opiates. Locally, carron-oil, cold 
cream, and unguentin were employed at different times, the 
former two being laid aside for the latter. The oil was objec- 
tionable because it stuck to the wound and made a dressing 
painful to wear, and especially so to remove. The consulting 
physicians agreed that extensive scarring would result no mat- 
ter what dressing was employed, and ordered cold cream. This 
was displaced by unguentin, which made the most satisfactory 
dressing in every particular. The result of treatment was rapid 
and uncomplicated cicatrization; and complete recovery fol- 
lowed, leaving not a vestige of scar-tissue or contraction. 

I£ Bismuthi subnitratis, 3j. 
Vaselini, §j. 
Phenol is, m v. 
Misce. 

Sig. : Wash surface with a solution of com- 
mon soda (31) in pint of water, and then apply- 
thickly and cover with a light dressing. 

Dr. T. S. Wassiljew records a case of extensive burns which 
seems to disprove the generally accepted view that such cases are 
hopeless when one-third of the surface of the body is affected. 

The patient, thoroughly chilled by tramping through mud 
and mire in a cold autumn night, lay down alongside a log fire 
in order to dry his clothes and warm his stiffened limbs. A 
quantity of whisky he had imbibed took effect, and he was soon 
in a deep slumber. 

Towards morning his clothing caught fire and he was terri- 
bly burned. 

When brought to the hospital about half of the trunk — i.e., 
the chest and abdomen, penis and scrotum — and the fingers of 
both hands were burned. In patches the epidermis was raised 
by collections of serous liquids, in other places it was hanging 
down in shreds. At least one-third the surface of the body was 
burned. 



Hand-Book of Modern Treatment. 71 

Treatment consisted in soothing inflammation and pain, 
with cold compresses of solution of snbacetate of lead. Xero- 
form was then applied. Xeroform possesses great desiccant and 
deodorizing powers, inhibits pus-formation, and stimulates granu- 
lation. 

In this case it was used as a 5-per-cent. vaseline salve. It 
was applied on large pieces of gauze and the dressing renewed 
daily. Soon the epidermis and parts of the corium detached; 
the burned surfaces became raw and bleeding in spots obscured 
by particles of corium. After about two months everything was 
clean, suppuration had disappeared, and healing progressed 
rapidly, though places which had been most exposed to the flames 
cicatrized more slowly. The strength of the xeroform-vaseline 
salve was therefore raised to 10 per cent., which noticeably hast- 
ened the process. After about four months almost all the 
wounds had healed. 

I£ Olei olivse, 3vj. 

Salolis, 3j. 

Liq. calcis, 3vj. 
Misce. 
Sig. : Local use. 



CALCULI, HEPATIC. 

I£ Chloroformi, f^ij. 

Sig. : Pour on gauze and inhale for relief 
of pains. 



I£ MorphinsB sulphatis, gr. iij. 
Atropinse sulphatis, gr. 1 / 15 . 
Misce et fiant chartulse no. xij. 
Sig.: One dissolved in 10 minims of water 
and given hypodermically. 



I£ iEtheris. 

Sig.: Pour on gauze and inhale for relief 
of pain. 



72 Hand-BooJc of Modern Treatment. 

CALCULI, RENAL. AND VESICAL. 

IJ Morphinee sulphatis, gr. j. 

Atropinse sulphatis, gr. x / 40 . 
Misce et fiant chartulse no. iv. 
Sig. : One in 10 minims of water, hypoder- 
mically, for pains. 

I£ Potas. bicarbonatis, ^iij. 
Sig. : Teaspoonful in cup of water three 
times daily after meals. 

Indication: When urine is acid. 

I£ Salolis, 5j. 

Sig.: Ten grains three times daily and 
Celestins Vichy. 

IJ Urotropin, 3ij. 

Sig.: Ten grains three times daily if urine 
is alkaline. 

CANCER. 

CANCER OF THE UTERUS. 

In the medical treatment of uterine carcinoma, A. Lutaud 
speaks of the importance of vaginal asepsis. This may be ef- 
fected by injection, as: — 

B Acidi picrici, 3iiss. 

Aquse, Oj%. 
Misce. 

Or:— 
I£ Resorcin., Zv. 

Aquse, Oj%. 
Misce. 

The injections should be made by the physician himself, 
after he has, by means of the speculum, located the site of 
disease. After the injection he employs a tampon of cotton, sat- 
urated with the following solution: — 

I£ Chloralis hydratis, 3ss. 

CocaineB hydrochlor., gr. iss. 

Aquse, 3v. 
Misce. 



Hand-Book of Modern Treatment. 73 

When the disease involves the body of the womb he injects 
into the cervix a few drops of the following mixture : — 

I£ Hydrarg. chlor. corr., gr. iij. 

Cocainse hydrochlor., gr. xv. 

Aquae, 3iiss. 
Misce. 

Or he may employ a bougie of: — 

R. Iodoformi, gr. iss. 

Cocainse hydrochlor., gr. 5 / 6 . 

Olei theobrom., gr. viij. 
Misce. 

He prefers powders, however, as they absorb discharges and 
do not disturb the weakened patient as much as injections nor 
necessitate such frequent changes of dressings. 

Among the combinations which he recommends is : — 

I£ Iodoformi, 3x. 

Cupri sulphatis, 3iiss. 

Morphines sulphatis, 3j. 
Misce. 

When a caustic action is no longer required, our author 
makes use of a simple disinfectant mixture : — 

I£ Salolis, 3j. 

Lycopodii, 3iiss. 

Acidi tannici, 3iiss. 
Misce. 

Or:— 
I£ Iodoformi, 3v. 

Pulv. carbonis lignis, 3v. 

Quininse sulphatis, 3ss. 

Ess. menth. pip., gtt. xv. 
Misce. 

In haemorrhage he may order: — 

IJ Ergotini, 3ss. 

Pulv. digitalis, gr. iij. 

Ext. hyoscyami, gr. iij. 
Misce et fiant pilulse no. xx. 
Sig. : From 4 to 6 pills daily. 



74 Hand-Book of Modern Treatment. 

Or:— 

I£ Ext. eannab. Ind., gr. viij. 

Ergotin., 3j. 

Ext. hamamelid. fl., 3ij. 

Syr. krameriae, Sj. 

Aquae destill., §iij. 
Misee. 
Sig. : Tablespoonful every two hours. 

In relieving pain and keeping up the strength nothing 
equals morphine, given in sufficient doses and sufficiently often. 
In addition to these injections our author frequently employs 
also a suppository containing : — 

I£ Olei theobrom., gr. xlv. 
Ext. belladonnae, gr. V 65 . 
Ext. opii, gr. l /,. 

Thuja, which has a reputation in cancer, may be given in 
association with arsenic : — 

B Tinct. thujse, 3j. 

Liq. potass, arsenit., 3ss. 

Syr. aeaciae, §j. 

Aquae, §iss. 
Misce. 

Sig. : Teaspoonful before each of the two 
principal meals. 

The treatment of cancer by application of arsenous acid 
may be rendered painless by adding to the acid an equal amount 
of orthoform. 

1^ Bismuthi subnitratis, 3ij. 
Phenolis, m xvj. 
Spts. chloroformi, q. s. ad Sviij. 

Misce. 

Sig. : Tablespoonful before meals. 

Indication: To relieve pain, control vomit- 
ing, and prevent putrefaction in cases of gastric 
cancer. 



Band-Book of Modern Treatment. 75 

R Cocainae hydrochlor., gr. vij. 

Codeinse sulphatis, gr. vij. 

Liquoris calcis, §v. 
Misce. 

Sig. : Teaspoonful at one dose. 
Indication: Cancer of stomach. 

R Bismuthi subnitratis, 3j. 
Phenolis, gr. xv. 
Aquae destillatae, §iv. 
Misce. 

Sig. : Teaspoonful hourly until pain has 
ceased. 

R Picrotoxini, gr. %. 

Morphinae hydrochlor., gr. %. 

Atropinae sulphatis, gr. 13 / 100 . 

Ergotini, gr. xv. 

Aquae laurocerasi, f 3ii j. 
Misce. 
Sig.: Five to 6 drops before meals. 

R Aspirin, 3iv. 

Fiant chartulae no. xxxij. 

Sig. : One powder every half-hour if neces- 
sary until 30 grains are given to relieve ex- 
cessive pains. 

R Liquoris potassii arsenitis. 

Sig. : One to 3 drops in water three times 
daily. 

Indication: In cancer of stomach to retard 
growth and relieve pain and vomiting, and im- 
prove general nutrition. 

CARBUNCLE. 

Bosenbaum claims for the following method of treatment 
that it is painless, the healing is quicker, and no scar or cicatrix 
remains. A pad of eight layers of gauze somewhat larger than 
the inflamed surface is soaked in Thiersch's solution (acid. 
salicyl., 5ss; acid, bor., 3iiiss; aq. Oij), covered with a layer 
of 10-per-cent. ichthyol ointment, applied to the carbuncle, and 
held in place by a rubber protective, cotton-wool, and a bandage. 



Band-Book of Modern Treatment. 



This dressing is left for two days, after which the cores are 
found to have separated from their walls. They can be pain- 
lessly removed at the next dressing. 



R Phenolis, gr. viij. 
Aquae destillatae, %]. 

Misce, 

Sig. : Inject 10 to 12 minims around seat of 
inflammation. This may be repeated every six 
hours during first twenty-four hours. 

Indication: To abort. 



R Tinet, ferri chloridi, fgij. 
Sig. : Ten drops in water through glass tube 
every two to four hours. 

R Hydrargyri oxidi rubri, 3i-ij. 
Menthol is, gr. xx. 
Pulv. camphorae, gr. xv. 
Cocainae hydrochlor., gr. x. 
Acidi carbol., m xx. 
Morphinae sulphatis, gr. v. 
Vaselini, §j. 
Misce et fiat unguentum. The menthol, cam- 
phor, cocaine, and carbolic acid should first be 
mixed together. The red oxide of mercury and: 
tlie vaselin likewise mixed together, then mixed 
with the other ingredients. 

Sig. : Spread on sterilized gauze and apply, 
changing the dressing four or five times a day. 

R Calcis sulphuratae, gr. v. 

Sig.: Give 1 / 10 grain every two hours. 

Indication: Limit suppuration. 

R Argenti nitratis, gr. xlv. 
Aquae destillatae, f^ij. 

Misce. 

Sig.: Paint over ulcerated surface and be- 
yond unhealthy skin night and morning. 

Indication: Used to destroy unhealthy 
granulations and limit spread of disease. 



Hand-Book of Modern Treatment. 



i i 



I£ Potassii iodidi, 3ss. 

Ferri pyrophosphatis, 3j. 

Syrupi, gij. 

Aquae, §ij. 
Misce. 

Sig. : One teaspoonful diluted in water 
after meals. 



CARIES. 

B- Syrupi hypophosphiti compositi, f^vj. 
Sig. : One teaspoonful in water after meals. 
Indication: Used in anaemic subjects. 



CATARRH, ACUTE GASTRIC. 

I£ Bismuthi subnitratis, gr. x. 

Potassii bromidi, gr. xv. 

Acidi hydrocyanici diluti, m xv. 

Spt. chloroformi, m xx. 

Mucilaginis acaciee, 3ij. 

Aquae, q. s. ad £j. 
Misce. 

Sig. : To be taken every three hours. 
Indication: Acute gastric catarrh. 

1$. Tinct. nucis vom., f£ss. 

Tinct. physostigmatis, f^ss. 

Acidi hydrochlorici dil., f3ij. 

Pepsini sacchari, 3iij. 

Aquae, q. s. ad fBiv. 
Misce. 
Sig. : Teaspoonful after meals. 

B Tinct. opii deod., m xvj. 

Bismuth, subnit., 3ij. 

Syrupi, f3iv. 

Aquae cinnam., f^iss. 
Misce. 

Sig. : Teaspoonful every two to four hours, 
for child one year old. 

Indication: Acute gastro-intestinal catarrh. 



78 Hand-Book of Modern Treatment. 

I£ Hydrargyri chloridi mitis, gr. j. 
Sacchari lactis, gr. x. 
Alcoholis, q. s. 
Misce et fiant triturationes no. vj. 
Sig. : One tablet every half-hour, followed in 
four hours by teaspoonful of Rochelle salts. 

Indication : Initial treatment or to overcome 
constipation. 

I£ Tinct. aconiti, m iv. 

Aquae, q. s. ad Bj- 
Misce. 

Sig. : Teaspoonful every hour. 
Indication: Used in early stage to control 
vomiting. 

1$ Acidi hydrocyanici diluti, 3j. 
Sig. : One drop in 10 drops of water every 
hour. 

Indication: Used to control vomiting. 

IJ Resorcini gr. lxxv. 

Bismuthi salicylatis, 3ss. 

Tannigen, §ss. 

Sacchari albi, 3ij. 

Sodii carbonatis, 3ij. 
Misce. 

Sig. : Small teaspoonful every two hours. 
Indication: Acute gastro-intestinal catarrh. 

Ji Morphinae sulphatis, gr. j. 
Aquae amygdalae amarae, 3j. 
Tinct. Valerianae aetheris, 3j. 
Aquae carbonicae, q. s. ad §v. 
Misce. 

Sig.: One-half to 1 tablespoonful every two 
hours. Keep on ice and do not shake the 
bottle. 

Indication: To control pain and vomiting in 
adults. 

1$ Sodii bicarbonatis, 3ij. 

Infusi gentianae compositi, §iij- 
Misce. 

Sig.: Teaspoonful in water before meals. 
Indication: Useful in convalescence. 



Hand-Book of Modern Treatment. 79 



CATARRH, NASAL. 



IJ Sodii bicarb., 3ss. 
Sodii biborat., 3ss. 
Glycerini, §ij. 
Listerini, §j. 
Aquse, %\\]. 



The abo^e is a modification of DobelPs solution, and when 
slightly warmed and used as a spray is excellent for cleansing 
and disinfecting the nasal cavities. 



1$ Betul-ol (methyl-oleo-salicylate co. ), mx. 

Acidi oleici, 3j. 

01. amygdal. dulc, 3ij. 

Salol, gr. x. 
Misce. 
Sig. : To be used as spray. 



1$ Acetat. aluminis, gr. j. 

Mentholis, gr. j. 

Acetanilidi, gr. j. 

Bisrrmthi subnit., 3j. 
Misce et fiat in vial. 
Sig. : Catarrh snuff. 



Its free use is also advised in the beginning of an ordinary 
cold in the head. It should be put up in a small vial to pre- 
vent deterioration. Apply it in the following manner: — 

Suppose you want to introduce the snuff into the right 
nostril. Place the palmar surfaces of the thumb, index, and mid- 
dle fingers of the right hand together so as to form a cone, in the 
apex of which cone will be a natural fossa to hold a bit of the 
snuff (which you pour from the bottle with the left hand — the 
size of a grain of wheat). Then place the cone formed by the 
fingers holding the snuff against the right nostril, close the left 
nostril with the left hand, toss the head slightly back, and draw 
the snuff up into the nose with a strong inspiration. 



80 Hand-Booh of Modern Treatment. 

R Camphorse, gr. xv. 

Quin. hydrochlor., gr. xlv. 

Tinct. aconiti, m xl. 

Tinet. belladonnse, mxl. 

Sacchari lactis, q. s. 
Misce et fiant capsular no. xv. 
Sig. : One capsule every two or three hours. 
Indication: Valuable in relieving acute con- 
gestion. 

B Acidi borici, 3j. 
Mentholis, gr. x. 
Cocainse, gr. v. 

Alcoholis (50 per cent.), mv. 
Pulveris talci, 3ij. 

Misce. 

Sig. : To be used as snuff. 

1^ Sodii iodidi, 3j. 

Syrupi amari aurantii, §j. 
Syrupi limonis, §j. 
Aquse, q. s. ad 5vj. 

Misce. 

Sig. : A tablespoonful three times daily in 
milk. 

CERUMEN. 

After removing impacted cerumen from the ear, apply car- 
bolized hydrocarbol or albolene for a few minutes by means of a 
vaporizer until the meatus auditorius externus and the tym- 
panum are thoroughly lubricated, and you will find that flexibil- 
ity of the tympanum will be increased and the hearing con- 
sequently intensified. 

I£ Glycerini, gss. 

Sodii bicarb., gr. xx. 

Aquse, 5ss. 
Misce. 

Sig.: Wash out the ears two or three times 
a day. 

Iii dealing with impacted cerumen difficulty is at times en- 
countered with the syringe in removing the mass, so that there 
is a temptation to employ considerable force, which is not with- 



Hand-BooJc of Modern Treatment. 81 

out danger in the sudden removal of the plug, thereby doing 
damage to the tympanic membrane. In order to facilitate the 
removal of these impacted plugs various substances have been 
employed to soften or partly dissolve the mass. Among those 
that have been used are alcohol, glycerin, and the various salts 
of sodium, and, of late, peroxide of hydrogen has had some 
vogue. 

The writer has tried all of these solvents, but none has 
given such satisfaction in his hands as undiluted ether, poured 
from a small bottle or a suitable pipette into the external 
auditory canal. The ether acts in a few seconds, partly dissolv- 
ing the cerumen from its attachment to the canal ; so that, with 
the most gentle syringing, the plug is promptly removed. 

I have not seen any dizziness or other ill effects from this 
use of the ether. For those who might hesitate at first to em- 
ploy pure ether in the ear, a mixture of equal parts of ether 
and alcohol might be used, with perhaps the same effect. 

CHANCRE. 

I£ Mentholis, gr. v. 

Iodoformi, 3iv. 

Cetacei alb., 3ij. 

Cerati, q. s. ad %]. 
Misce. 
Sig.: Apply locally once daily. 

I£ 01. mirbani, m iv. 

Balsam. Peruv., 3iij. 

Iodoformi, 3ij. 

Vaselini, q. s. ad 3j. 
Misce. 
Sig.: Apply locally once daily. 

~fy Bismuthi subnitratis, 3iij. 

Acidi salicylici, gr. ij. 

Zinci oleatis, q. s. ad §j. 
Misce. 
Sig. : Apply locally. 

R> Zinci chloridi, 3j. 

Zinci oxidi, 3x. 

Aquae, q. s. to make a paste. 
Misce. 

Sig. : Apply and leave on for twenty-four 
hours. 



82 Band-Book of Modern Treatment. 

IJ Hydrargyri chloridi corrosivi, gr. v. 

Liquoris calcis, §x. 
Misce. 
Sig. : Cleanse with this the initial sore. 

B Ung. potassii iodidi, gr. clxxxv. 

Ung. hydrargyri, gr. clxxxv. 

Ung. beiladonnae, q. s. ad 3xss. 
Misce. 
Sig.: Apply several times daily. 

f£ Hydrargyri chloridi miti's, 3iiss. 

Dermatol, 3j, gr. xv. 
Misce. 

Sig. : Dust parts and keep them separated 
with gauze. 

Ifc Argenti nitratis, gr. xxx. 

Aqu£e destillatse, fgj. 
Misce. 

Sig. : Apply with cotton swab once daily. 
Indication : Used to destroy unhealthy gran- 
ulations in indolent ulcers. 



CHANCROIDS. 

1$ Zinci stearatis cum acido borico, 3j. 
Sig. : Use as a dusting powder after cau- 
terizing. 

IJ Ung. hydrargyri, 3iv. 

Ung. beiladonnae, 3iv. 

Ung. ichthyolis, 3iv. 
Misce. 
Sig. : Apply once or twice daily. 

I£ Acidi nitrici, 3ij. 
Aquae, q. s. ad Bj- 
Misce. 
Sig. : Touch each ulcer. 

R Lotionis hydrarg. nigrse, f^viij. 
Sig. : Apply freely to ulcer on absorbent cot- 
ton and change frequently. 



Hand-Book of Modern Treatment. 83 



IJ, Bismuthi subnitratis, 3j- 

Hydrarg. chloridi mitis, 3j- 
Misce. 
Sig. : Use freely as a dusting powder. 

IJ Iodoformi, gj. 

Sig. : Apply freely to the ulcer. 

1^ Liquoris plumbi subacetatis, §j. 
Tinct. opii, 3j. 
Aquae destillatse, §xvj. 
Misce. 

Sig. : Apply continuously to ulcer on ab- 
sorbent cotton. 

I£ Cupri sulpha tis, 3ij. 

Aquae, gij. 
Misce. 

Sig.: Apply once daily with swab. 
Indication: Used to promote healing of in- 
dolent ulcer. 



CHAPPED LIPS, HANDS, AND FACE. 

1$ Tinct. benzoini comp., 3ij. 

Grlycerini, 3vj. 
Misce. 

Sig. : Apply three or four times daily with 
a camel's hair brush. 

Indication: Useful for chapped lips. 

I£ Oxidi hydrargyri flavi, gr. ij. 
Balsami Peruviani, gr. x. 
Vaselini, 3iv. 
Misce. 

Sig. : Apply to the parts. 
Indication : May be used for chapping occur- 
ring on any part of the body. If there is itch- 
ing, 2 grains of carbolic acid may be added to 
the above. 

I£ Spiritus camphorae, 3ss. 

Tinct. benzoini comp., 3ij. 

Listerini, §j. 

Glyceriti hydrastis, q. s. ad 3iv. 
Misce. 

Sig. : Shake and apply freely to hands, face, 
or lips several times a day. 



84 Hand-Book of Modern Treatment. 

P> Mentholis, 3ss. 

Salolis, 3j. 

Olei olivse, 3v. 

Lanolini, ^ij- 
Misce. 

Sig. : Apply night and morning. 
Indication: Chapped hands. 

R> Glycerini, §iss. 

Balsam. Peru., f^ss. 

Sodii salicylatis, 3j. 

Aquae lactucarii, §vj. 
Misce. 
Sig. : Apply to hands twice daily. 

P* Acidi tannici, gr. viiss. 

Glycerini, 3v. 

Aquae rosse, ^iij. 
Misce. 
Sig. : Apply locally to hands. 

Py Phenolis, m xxv or 3ss. 
Olei cadini, m lx or 3j. 
Cremoris nutritioni, 3vj. 
Misce. 

Sig. : Rub in vigorously to promote circula- 
tion. It is a good plan to wear a pair of loose 
leather gloves at night. 

F* Ichthyoli, 3j. 

Tinct. benzoini comp., 3j. 

Acidi borici, 3j. 

Petrolati, 5ij- 
Misce. 

Sig.: Apply frequently through the day. 
Indication: Chafing under the arms and in 
groins of infants. 



CHILBLAINS. 



n 


Pulveris 
Balsami 
Vaselini, 


saloli, gr. 
peruviani, 


xlv. 
m xlv. 


Mi 

Sig 


see. 

;. : Apply locally. 





Hand-Book of Modern Treatment. 85 

3 Ichthyoli, f3ij. 

Unguenti potassii iodidi, 3iv. 

Olei terebinthinae, f3j. 

Adipis lanae hydrosi, q. s. ad ^ij. 
Misce. 

Sig. : Spread upon new" unbleached muslin 
and apply. 

R. Liquoris plumbi subacetatis, f^j. 
Tincturae opii, f^j. 
Aquae destillatae, q. s. ad Sxvj. 
Misce. 

Sig.: Keep applied freely on well-moistened 
soft cloth. 

Indication: Only to be employed when skin 
is unbroken. 

B Tinct. iodi, f3iv. 

Sig. : Apply with brush once or twice daily. 



CHLOASMA. 

B Hydrarg. chloridi corrosivi, gr. iij. 

Acidi acetici diluti, 3ij. 

Sodii boratis, gr. xl. 

Aquae rosae, q. s. ad fgiv. 
Misce. 
Sig. : Apply night and morning. 

I£ Hydrarg. chloridi corrosivi, gr. iij. 

Zinci sulphatis, 3ss. 

Plumbi acetatis, 3ss. 

Aquae, q. s. ad §iv. 
Misce. 
Sig. : Apply night and morning. 

B Hydrarg. chloridi mitis, 3ij. 

Bismuthi subnitratis, 3ij. 

Pulveris amyli, 3iv. 

Glycerini, 3iv. 
Misce. 

Sig. : Apply as paste to parts during night 
and wash off in the morning. 



Ifc Aquae hydrogenii dioxidi, f^v. 
Sig. : Apply with sponge twice daily. 



86 Hand-Book of Modern Treatment. 

I£ Hydrarg. chloridi corrosivi, gr. iv. 

Tinct. benzoini comp., 3ij. 

Zinci sulphatis, gr. xx. 

Alcoholis, 

Aquse destillatse, of each, q. s. ad Siv. 
Misce. 
Sig. : Apply freely twice daily. 

I£ Acidi salicylici, gr. xxx. 

Adipis lanae hydrosi, 3iv. 

Ungt. aquae rosse, §ij. 
Misce. 
Sig. : Apply twice daily to parts affected. 



CHLOROSIS.— See Anaemia. 

CHOLERA. 

squibb's cholera mixture. 

I£ Tinct. opii, fgj. 

Tinct. capsici, fgj. 

Spir. camphorae, f^j. 

Chloroformi, f3iij. 

Alcoholis, q. s. ad f^v. 
Misce. 
Sig.: Twenty to 40 minims. 

I£ Camphorse, gr. lxxv. 
Vini rubri, Oij. 

Sig. : First dissolve camphor in alcohol and 
then add wine. Give 1 to 2 tea spoonfuls every 
hour during the attack. 

I£ Acidi sulphurici aromatici, 5j- 
Spiritus eamphorse, ^j. 
Vini rubri, q. s. ad %vj. 

Misce. 

Sig.: One teaspoonful in water every three 
hours. 

Indication: To relieve purging, vomiting, 
and diarrhoea. 



Rand-Booh of Modern Treatment. 87 



I£ Sodii chloridi, gr. xliij. 
Aquae destillatse, cong. j. 

Misce. 

Sig. : Give by hypodermoclysis. Solution 
should be sterilized and warmed before in- 
jected. 

I£ Strych. sulphatis, gr. y 7 . 

Atropines sulphatis, gr. Vso- 
Misce et fiant chartulse no. iij. 
Sig. : Dissolve in water and give by hypoder- 
moclysis, and repeat if required. 

Indication: Used to prevent collapse. 



CHOLERA INFANTUM. 

I£ Bismuthi subnitratis, 3iss. 

Listerine, 5 s s. 
Glycerini, 3iv. 
Misturae eretse, q. s. ad 3ij- 
Misce. 
Sig. : Teaspoonful every three or four hours. 

IJ Magnesii sulphatis, 3ss. 

Acidi sulphurici diluti, gtt. ij. 
Aquae, q. s. ad Si j - 

Misce. 

Sig.: Place on ice, and after cooling tea- 
spoonful every half-hour. 

Indication: Initial treatment, associated 
with gentle injection of large quantities of tan- 
nic acid solution (5 grains to 1 pint) into colon 
by means of fountain-syringe and soft-rubber 
catheter. 

IJ Olei ricini, 3iv. 

Tinct. opii camphoratse, 3j. 

Misce. 

Sig. : One to 2 teaspoonfuls and repeat if 
necessary. 

Indication : History of undigested food hav- 
ing passed. 



88 Eand-Book of Modern Treatment. 

fy Resinse podophylli, gr. y 2 . 

Liq. potassii arseniti, m iij. 

Liquoris calcis, f^iij. 
Misce. 

Sig. : Teaspoonf uI every five hours. 
Indication: Unchecked diarrhoea and lost 
tone of parts. 



Ifc Hydrarg. cum creta, gr. j. 

Cretse prseparatse, gr. vj. 
Misce et fiant chartulae no. vj. 
Sig. : One every hour. 
Indication: Used to stimulate hepatic secretion. 



CHOLERA MORBUS. 

R, Spiritus setheris comp., 3ij. 
Spiritus lavandula? comp., 3ij. 
Tinct. opii camph., 3ij. 
Tinct. capsici, m xv. 
Tinct. zingiberis, 3ij. 
Misce. 

Sig. : One-half to 1 teaspoonful every two 
hours, accompanied with turpentine stupes. 
One 3 of turpentine to 1 quart of water. 



I£ Acidi earbolici, gr. viij. 

Glycerini, 3j. 

Tinct. opii camph., Sij- 

Aquse cinnamomi, §iij. 
Misce. 

Sig.: For adult 1 teaspoonful after each 
paroxysm until they cease. 



R- Olei ricini, Sj. 

Tinct. opii, m xv. 
Misce. 

Sig.: Take in one dose. 
Indication: When irritant food is present. 



Hand-Book of Modem Treatment. 89 

R Acidi sulph. aroma t., f3ij. 

Fluidextracti hasmatoxyli, f3ij. 

Spiritus chloroformi, f§ss. 

Syrupi zingiberis, q. s. ad fSiij- 
Misce. 

Sig. : Dessertspoonful every two hours. 
Indication: When diarrhoea is profuse and 
intestines lack tone. 



CHORDEE. 

R Fluidextracti ergotse, m xv. 

Tinct. gelsemii, m v. 

Potassii bromidi, gr. xx. 

Tinct. hyoscyami, 3ss. 

Syr. aurantii, q. s. ad §ss. 
Misce. 

Sig.: To be taken at bed time. 
Indication: To allay chordee and sexual ex- 
citability. 

R Liq. morphinse hydrochlor., m xv. 

Cocainse hydrochlor., gr. ss. 

Aquse destillatse, q. s. ad 3ij. 
Misce. 

Sig.: Inject into the urethra and hold five 
minutes, just before retiring. 

The bowels must be kept freely open by giving a cathartic 
pill every third day during the acute stage and avoid saline 
purgatives. The urine should be kept alkaline by potas- 
sium bicarbonate and acetate, combined with the tincture of 
hyoscyamus. 

R Potassii bromidi, §ij. 

Chloralis hydratis, 3ij. 
Misce. 

Pone in chartulse no. xvj. 

Sig. : One each night at bed time, and repeat 
once during night if necessary. 

R Morphinae sulphatis, gr. %. 
Atropinae sulphatis, gr. 1 / 60 . 
Sig. : Inject hypodermically at bed time. 



90 Hand-Book of Modern Treatment, 

CHOREA. 

B Tinct. ferri chloridi, 3ij. 

Liquoris arsenicalis, 3iij. 

Glyeerini, 5,b 

Aquse chloroformi, q. s. ad %\v. 
Misce. 

Sig. : One small teaspoonful in water after 
food three times a day. 

I£ Ferri reducti, gr. i-iij. 

Quinine sulphatis, gr. ii-v. 

Acidi arsenosi, gr. 1 / so - x / 30 . 
Misce. 

Sig. : To be taken in pill or capsule three 
times a day. 

I£ Sodii arsenatis, gr. iss. 

Acidi carbolici, m iij. 

Aquas destillatse, 3iiss. 
Misce et fiat solutio. 

Sig. : Five minims as an initial dose and 
repeat, according to age. 

I£ Asafoetida, gr. xx. 

Ext. Valerianae, gr. xx. 

Zinci oxidi. gr. xx. 

Castori pulv., gr. xx. 

Ext. belladonna, gr. ij. 
Misce et riant pil. no. xx. 
Sig. : One or two night and morning. 

I£ Liquoris potassii arsenitis. 

Sig. : One drop in water three times daily, 
and increase 1 drop each day until puffiness of 
eyelids or pain in bowels ensues. Then de- 
crease half the dose and continue till disease 
disappears. 

COLIC, HEPATIC. 

B Extracti belladonnas, gr. 1 / 3 . 

Extracti opii, gr. 1 / 3 . 

Olei theobromatis, gr. xxx. 
Misce. 

Sig. : Make into one suppository, one such 
to be inserted every half-hour for two hours. 



Hand-Book of Modern Treatment. 91 

Olive-oil has always been considered empirically as a specific 
remedy in hepatic colic, and even in gall-stones. But it has 
usually been administered during the attack, and more as a seda- 
tive than for preventive purposes. Dr. S. Artault de Vevet 
attempts to show that in oleic acid, the active principle of olive- 
oil, we possess a powerful preventive of biliary lithiasis. Ac- 
cording to the author, it is highly probable that to oleic acid the 
remedial effect of olive-oil in biliary colic is to be ascribed, and 
this conclusion has been completely borne out by observations 
covering a period of about six years. The effect of oleic acid in 
hepatic colic has always been uniform and remarkably good. 

The acid may be given in capsules of 8 minims each, one to 
be taken morning and evening, for a period of one to two weeks. 
If necessary 16 minims may be prescribed at a dose, and the 
acid taken for a prolonged time, with regular intermissions. In 
this manner the attacks of biliary colic may be prevented, and 
relieved when once established. This double efficiency is another 
valuable property of oleic acid. 

The author insists on the prime importance of obtaining the 
pure product, as often fraudulent substances are dispensed. 
The following conclusions seem to be warranted : 1. Oleic acid 
is a specific remedy for biliary lithiasis. 2. The remedy relieves 
promptly the pain of an attack of biliary colic, but its chief effi- 
ciency is shown in preventing the return of the paroxysm, by 
interfering with the further formation of stones. It is thus 
curative and preventive at the same time. 3. The single dose 
is 8 to 16 minims in capsules, one in the morning for ten days 
of the month, if the attacks recur monthly, or for fifteen days 
preceding the expected paroxysm. 

Ji Vlorphinge sulphatis, gr. 1 / i. 
Atropinse sulphatis, gr. V 100 . 
Misce. 

Sig. : Use hypodermically to decrease pain 
and relax spasm of muscular coat of ducts. 

I£ Hydrarg. chloridi mitis, gr. x. 

Saechari, 3iv. 
Pone in capsulas no. lx. 

Sig. : One capsule or tablet every four hours. 
Indication : Torpid liver. 



92 Hand-Book of Modern Treatment. 

IJ 01. terebinthinae, m v. 

Syrupi acaciae, f£ss. 

Sodii phenolsulphonat., gr. xx. 

Spiritus aetheris composit., mxv. 

Aquae menthae pip., q. s. ad f^j. 
Misce. 
Sig. : To be taken once or twice a day. 



COLIC, INFANTILE. 

IJ Potassii bromidi, gr. viij. 

Chloralis hydratis, gr. iv. 

Aquae camphorae, q. s. ad f§j. 
Misce. 

Sig. : One teaspoonful every four hours. 
Indication: Severe colic and insomnia of 
children over one year old. 

1$ Emulsi asafcetidae, fSij. 

Sig.: One-half teaspoonful as required. 

Indication: Used for flatulence and pain. 

I£ Spiritus aetheris compositus, fSj. 
Sig. : Five or 10 minims in cold water every 
two hours. 

Five drops of tincture of lobelia in 2 ounces of water, half 
a teaspoonful every few minutes, given warm, will cure many 
cases of infantile colic from whatever cause, will soothe ner- 
vous irritation, and induce sleep. 

In severe cases among children, Dr. Louis Starr says that 
bromide of potassium and chloral are most useful ; they may be 
combined as follows: — 

Ifc Potassii bromidi, gr. xvj. 
Chloralis hydratis, gr. viij. 
Syrupi, Bss. 
Aquas menth. pip., q. s. ad §ij. 

Misce. 

Sig. : One teaspoonful for a dose. 

Of this preparation it is rarely necessary to give more than 
two or three doses, at intervals of an hour. 



Hand-BooJc of Modern Treatment. 93 

In infantile colic the result of indigestion, overfeeding, con- 
stipation, or improper food, Illoway advises the following prepa- 
ration : — 

B Misturse rhei et sodse, §ss. 

Spiritus setheris compositus, m xl. 
Syrupi rhei aroniatici, q. s. ad §j. 
Misce. 

Sig. : A half-teaspoonful of this may be 
given every" half-hour or hour to an infant a 
month old or so. Under and over that age, the 
dose to be graduated accordingly. Two or three 
doses are usually sufficient. 

"While paregoric has long been popular in the lay mind for 
painful troubles of this character in infants, it nevertheless is 
an unwise remedy to employ, and should always be reserved 
until after simpler measures have failed. 

McAlister gives as exciting causes of infantile colic, indul- 
gence of the mother in rest, in insufficient exercise, irregularity 
of diet, and the mental state. In bottle-fed babies the want of 
strict cleanliness in their care, overfeeding, and too rapid feed- 
ing, the last being a very prolific cause. Too long use of nip- 
ples causes them to become patulous and the flow is too free. 
Diagnosis of colic is important. All crying of babies is not 
from colic. Colic presents hardness of abdomen, palpation 
shows coils in intestine, drawing up of legs is present, and there 
is expulsion of flatus with vigorous crying. Great circumspec- 
tion should be exercised in the use of drugs. Opiates are con- 
demned. Encourage expulsion of flatus by manipulation of the 
abdomen, massage, and warmth to bowels. High acidity of bot- 
tle-fed infants has suggested the combination of alkaline prepar- 
ations with carminatives, as in the following: — 

B Sodii bicarb., gr. xl. 

Spts. ammon. aromat., m xl. 

Glycerini, m xxx. 

Aqua menth. pip., q. s. ad Sij- 
Misce. 
Sig. : Tea spoonful between feedings. 

A towel dipped in boiling water, wrung out rapidly, folded 
to proper size, and applied to the abdomen with a dry flannel 
over the hot towel, acts like magic in infantile colic. 



94 Hand-Book of Modem Treatment. 



COLIC, INTESTINAL, ADULTS. 

IJ Chloroformi, 3iss. 

Tinct. opii deodorat., 3j. 

Camphorse, gr. iv. 

01. cajuputi, 3j. 

Aquae, Sij. 
Misce. 

Sig. : Teaspoonf ul every hour or two. 
Indication : Acute colic. 



IJ Spir. chloroformi, §ij. 

Tinct. belladonnas, m cl. 

Dionin, gr. v. 

Comp. tinct. cardamomi, q. s. ad §iv. 
Sig. : Teaspoonful in water every half-hour 
for adults. 

1$, Codeinse, gr. iij. 

Bisinuthi subnit., 3j. 

Chloroformi ( Squibb's ) , 3i j. 

Tinct. lavand. comp., §j. 

Syr. pruni Virg., gj. 

Spts. vini gal., §j. 
Misce. 

Sig. : One teaspoonful every fifteen minutes 
until relieved. 

Indication : Acute colic with cramps. 

Two to 5 ounces of butter stirred into 1 or 2 cups of black 
coffee, and taken at a draught. Follow with carbonated waters 
freely. Do not use opium or its preparations at the same time. 
This simple expedient is often of great and immediate value. 



COLIC, LEAD. 

Delearde treated five patients who were sick with lead colic 
by injecting 1 pint of physiological salt solution under the skin 
of the abdomen ; in all the cases muscular pain soon disap- 
peared; after twenty-four hours, instead of the constipation, a 
beneficial diarrhoea set in, lasting two or three days, when it 
ceased. 



Rand-Book of Modern Treatment. 95 



R. Aluminis, gr. xx. 

Opii, gr. xx. 
Misce et fiant chartulse no. xij. 
Sig. : One every two hours. 
Indication: Used to relieve pain and consti- 
pation. 



COLIC, RENAL.— See Calculi, Renal and Vesical. 



CONDYLOMATA, COMMON. 

IJ Acidi salicylici — saturated sol, 3ss. 

Sig. : Moisten the growth once or twice 
daily, and remove the softened coating from 
time to time. 



IJ Acidi lactici, f§ss. 

Sig. : Paint the growth once or twice daily. 



CONJUNCTIVITIS. 

IJ Hydrarg. oxidi flavi, gr. ij. 

Vaselini, 3ij. 
Misce. 

Sig. : Apply at night. 

Indication: Simple conjunctivitis or acute 
contagious. 

IJ Zinci sulphatis, gr. i or ij. 

Aquae destillatas, §j. 
Misce. 

Sig. : One drop in eye three times daily. 
Indication: Simple conjunctivitis or acute 
contagious. 

IJ Zinci sulphatis, gr. j. 

Morphine sulphatis, gr. ss. 

Atropinse sulphatis, gr. ss. 

Aquae destillatse, fgj. 
Misce. 

Sig. : Few drops in eye two or three times 
daily. 



Hand-Book of Modern Treatment. 



IJ Acidi borici, 3ss. 

Sodii biboratis, 3ss. 

Aquae menthae pip., 3iij. 

Fluidextracti hamamelis, 3iv. 

Aquae camphorae, ^ij. 

Aquae destillatae, §ij. 
Misce. 
Sig. :' Bathe the eyes freely. 

IJ Argenti nitratis, gr. ij. 

Aquae destillatae, Bj. 
Misce. 

Sig. : Paint eyelids once daily. 
Indication: Simple and purulent conjunc- 
tivitis. 

IJ Argenti nitratis, gr. x. 

Aquae destillatae, 3j- 
Misce. 

Sig. : Touch eyelids night and morning and 
wash off excess with salt solution. 

IJ Protargolis, gr. xx. 

Aquae destillatae, fSj. 
Misce. 

Sig. : Wash eye and apply to the lids twice 
daily. 

Indication: Purulent conjunctivitis. 

IJ Iodoformi, gr.' iss. 

Cocainae hydrochlor., gr. j. 

Petrolati, 3iss. 
Misce. 

Sig. : Apply locally. 
Indication: Ulcer of cornea. 

IJ Acidi borici, gr. xx. 

Sodii chloridi, gr. ij. 

Aquae destillatae, f Sj- 
Misce. 
Sig. : Wash out the eye frequently. 

IJ Glyceriti acidi tannici (10 per cent.), f^j. 
Sig.: Apply to everted lids. 



Hand-Book of Modern Treatment. 



Ifc Borogiycerini (40 per cent.), fBj« 
Sig. : Apply to everted lids. 

R. Acidi tannici, gT. xl. 

Tincturge iodi, mx. 

Glycerini, §j. 
Misce. 

Sig. : Apply to everted eyelids. 
Indication: Last three prescriptions used in 
granular conjunctivitis. 



CONSTIPATION. 

f£ Aloes extracti, gr. iss. 

Ipecacuanhas pulveris, gr. ss. v 

Nucis vomicae extracti, gr. ss. 

Quininas sulphatis, gr. j. 

Saponis, gr. ss. 
Misce et fiant pilulas. 

Sig. : One pill to be taken immediately be- 
fore dinner. 

The following formula has been found to be an effective 
one : — ■ 

I£ Aloinas, gr. %. 

Strychnine sulphatis, gr. V 48 . 

Extracti belladonnas, gr. 1 / 8 . 

Pulveris ipecacuanhas, gr. V 3 . 
Misce et fiant pilulas. 
Sig. : One pill to be taken daily. 

Employed alone, belladonna seems to be more efficacious in 
the case of women than of men, and appears especially applicable 
in those cases of constipation in which a painful condition of 
some of the pelvic viscera (uterus or ovaries) tends to constipa- 
tion by inhibition of intestinal peristalsis. 

I£ Sulphuris loti, 3j. 

Potass, bitartratis, 5j- 

Pulv. sennas, §ss. 

Syr. rhei, 3j. 

Ext. cascaras sagradas, 3ij. 
Misce et fiat confectio. 
Sig.: Tablespoonful at night. 



98 Hand-Book of Modem Treatment. 

A very successful remedy for constipation in infants is 
podophyllin, in small doses; iridin may be combined with it 
with good effect. Make a tincture of the following: — 

R. Resinae podophyllini, gr. viij. 
Iridini, gr. v. 

Spiritus ammonise aromatici, 3j. 
Misce. Digest for several days and filter. 
Sig. : One or two drops of this may be given 
at bed time on a small piece of loaf sugar, or 
the dose may be combined in mixture along 
with syrup of orange. This is the dose for a 
child of one year and under. 

In cases of chlorosis or ansemia, it is well to prescribe con- 
fectio sulphuris 5j to be taken every morning, followed by this 
mixture : — 

I£ Ferri sulphatis, gr. xij. 

Magnesii sulphatis, §j. 

Quininae sulphatis, gr. x. 

Liquoris strychninae, f3ss. 

Acidi sulphurici diluti, m xl. 

Aquae dest., q. s. ad f^viij. 
Misce et fiat mistura. 

Sig. : Two tablespoonfuls to be taken once 
daily about one hour before dinner. 

R Extracti colocynthi, gr. 1 / 3 . 

Terebinthinae ( Venice ) , gr. 9 / 10 . 

Pulv. socotrinae aloes, gr. 1V 3 . 

Ext. nucis vomicae, gr. V 6 . 

Ext. hyosciami, gr. 9 / 10 . 
Misce for one pill. 

Sig. : One such pill to be taken twice daily. 
Indication: Constipation with flatulence. 

IJ Sulphuris loti, f^j. 

Potassii bitartratis, 5j- 

Pulv. sennae, 3iv. 

Syrupi rhei, f3ij. 

Fluidextracti cascarae sagradae, f3ij. 
Misce et fiat confectio. 

Sig. : One teaspoonful at night to move the 
bowels. 

Indication: Habitual constipation. 



Rand-Book of Modern Treatment. 99 



CONSTIPATION IN CHILDHOOD. 

Dr. E. S. McKee advises the following treatment in a child 
two or three years old, suffering from chronic constipation: — 

Massage 8 to 10 minutes morning and evening over the 
course of the colon. Give juice of half an orange and a glass of 
water or Yichy on rising. For breakfast I would advise oat- 
meal with cream, dried bread and butter, one egg, half a glass of 
milk, with cream and water added; for dinner, soup, one 
starchy vegetable (for example, potato with cream) and one 
green vegetable, beefsteak, baked apple, prunes, dried bread and 
butter, and water; for supper, cream toast, one egg, dried 
bread and butter or graham crackers, half a glass of milk with 
cream and water added; and suppositories of aloin, etc., at 
bed-hour. The well-known aloin, strychnia, and belladonna 
comp. pill divided into pills of one-fifth the ordinary strength, 
are very valuable in the treatment of constipation in children, 
repeating the pill one, two, or three times a day as necessary. 

In the constipation of sucklings a change in the diet of 
the mother may be tried, or from one to three teaspoonfuls of 
cream may be given before each nursing. In artificially-fed 
children, the top milk with cream should be fed. Water, barley- 
water, or oatmeal will sometimes obviate the difficulty. As 
laxatives, simple syrup, manna, olive-oil, castor-oil, or fluid 
magnesia may be sufficient. A conical piece of soap inserted 
into the rectum is sometimes sufficient, as is even a ther- 
mometer if inserted at regular intervals. In infants after the 
fifth or sixth month costiveness is an indication for the intro- 
duction of starchy matter into the diet. 

The daily injection in infants of warm soapsuds by means 
of a soft-bulbed ear-syringe, or of glycerine gtt. xv-xx in a tea- 
spoonful of water, is very successful. The following may be 
given : — 

~fy Magnes. oxidi, gr. viiss. 
Sacch. lactis, gr. viiss. 

Put a piece of flaked manna in each bottle of artificially- 
fed infants' food. Ten drops of syrup of figs, 2 to 4 drops of 
fluid extract of cascara sagrada, a pinch of salt in the bottle, the 
addition of Mellin's food to the diet, the twice-daily massage, 



100 Hand-Booh of Modern Treatment. 

the addition to each bottle of milk of 2 to 4 gr. phos- 
phate of soda, an increase in the proportion of cream, 
Tarrants' seltzer aperient, 10 grains in the milk, a little milk of 
magnesia added to the milk or water — these are usually suc- 
cessful, one or all, used in consecutive order. 

R. Magnesii sulphatis, §ss. 

Sodii sulphatis, §ss. 

Potassii sulphatis, gr. ij. 

Sodii bicarbonatis, gr. viij. 

Sodii chloridi, gr. xx. 

Aquae, q. s. ad §viij. 
Misce. 

Sig. : Wineglass before breakfast. 
Indication: Artificial Hunyadi Janos for 
constipation. 

Spoeth has employed the following formula in the treat- 
ment of intestinal fermentation in the course of the infectious 
diseases, such as typhoid fever: — 

1$ Creolini, 3iss. 

Aicoholis diluti, m xv. 
Pulveris glycyrrhizse, 3iss. 
Extracti glycyrrhizse, 3iss. 
Mucilaginis tragacanthi, gr. xv. 

Misce. 

Sig. : Make into 100 pills and give one three 
times a day. 

For constipation in infants and small children cathartics 
ought not to be given. Instead, let a small quantity of glycerine 
— a half teaspoonful — to which has been added a few drops of 
water to make it now, be injected into the rectum by means of 
a small hard-rubber syringe. This may be repeated every day 
when the act of evacuation does not take place naturally. The 
effect of the glycerine is that of a mild stimulant to the rectum, 
the result of which is expulsion of its contents. No harm can 
come of this treatment, while much damage does come from 
the use of cathartics. 

The first step must be to regulate the habits and life of 
the mother. She must be placed on a diet of fresh meat, fresh 



Hand-Book of Modern Treatment. 101 

vegetables, and freshly-cooked fruit, with due provision for 
regular exercise, and restriction in the matter of tea-drinking 
and other dietetic irregularities. This regime will diminish the 
proteid, and increase the fatty constituents of the milk, and will 
go far to rid the infant of the tendency to constipation. 
Should it fail, the best treatment for the child is the admin- 
istration of cream in doses of from 1 to 2 teaspoonfuls in 
warm water from time to time just before the periodical meal. 

Although there are exceptions to the rule, I find most cases 
of constipation are caused from a lack of attending to the call 
of Nature. Having some unfinished work to perform when 
Nature calls, it is put off until the work is finished, then the 
call is forgotten and the subject becomes habitually consti- 
pated. I first give the patient a severe lecture on his neglect 
to answer the call of Nature promptly. Then I instruct him to 
finish each meal with a good, ripe apple (and, if small, to eat 
two). And, as I consider the most appropriate time for the 
bowels to move is immediately after breakfast, I instruct the 
patient to fill an ordinary P. P. syringe with pure glycerine 
and inject, per rectum, immediately after that meal, which will 
usually cause a free passage within five or ten minutes, and 
to continue these injections until Nature calls at that time with- 
out its use. I have found the glycerine to be needed but a 
short time. 

The following combinations are serviceable remedies in 
correcting constipation in adults: — 

T$, Fluidextracti frangulse, 3vj. 

Fluidextracti cascarse, 3vj. 

Glycerini, 3iij. 
Misce. 
Sig. : One or 2 teaspoonfuls at bed time. 

1$, Ext. cascarffi, gr. 3 / i . 

Podophyllin, gr. V 7 . 

Ext. hyoscyami, gr. l / 7 . 

Euonymin, gr. 3 / 7 . 

Pulv. saponis, q. s. 
Mi see et fiat pilula no. j. 
Sig. : One or two such pills at bed time. 



102 Hand-Book of Modern Treatment. 

ty Euonymin, gr. 3 / 10 . 

Podophyllini, gr. 3 / 10 . 

Ext. hydrastis Canaden., gr. ss. 

Pulv. saponis, gr. ss. 
Misce et fiant pilule no. j. 
Sig. : One such pill at bed time. 

In considering the treatment of chronic constipation, 
J. A. MacMillan recommends rectal tampons in atonic con- 
stipation. This tampon should be made of absorbent cotton, 
cheese-cloth, or lamb's wool, and should be large enough 
to cause some distension of the bowel. It should be inserted 
through an ordinary proctoscope, and packed by means of 
a long forceps. The best location is at the recto-sigmoidal 
junction. A piece of string, of course, should be attached to 
the tampon, in order to facilitate its withdrawal after it has 
remained in place for from two to six hours. This treatment 
should be carried out every other day at first, and the interval 
between the treatments should be gradually lengthened as im- 
provement takes place. The value of this treatment, accord- 
ing to the author, is due to the distension of the intestine. He 
records success in the majority of the cases in which he has 
tried it, although not in all of them. In most of these cases 
enemata and cathartics should be discontinued from the first, 
in order that regularity of stools may be established. 



CONVULSIONS. 

IJ Sodii bromidi, gr. viij. 

Cliloralis hydratis, gr. viij. 
Sodii bicarb., gr. viij. 
Aquse, fgj. 
Sig. : Teaspoonful every hour to a child 
under four months old. 



I£ Chloralis hydratis, gr. viij. 

Camphorse, gr. xv. 

Tinct. moschi, gtt. xx. 

Aquse destillatse, %\\]. 

Yelk of 1 egg. 
Sig.: As an enema. 



Band-Book of Modern Treatment. 103 

IJ Chloralis hydratis, gr. v. 

Moschi, gr. iij. 

Camphorse, gr. xv. 

Aquae, giij. 

Yelk of 1 egg. 
Sig. : As an enema. 
Indication: Persistent convulsions. 

Ifc Chlorofornii, fgss. 

Sig. : Used by physicians. Small quantity 
on handkerchief until convulsion ceases. 
Indication: Infantile convulsions. 

Infantile convulsions or spasms may be arrested in one 
minute by the application of one or two dry cups on the back, 
from the seventh cervical to the first dorsal vertebra. This se- 
cures a remission for other medication. 

Veratrum viride is an excellent remedy in convulsions. 
It may be given to infants, or in puerperal eclampsia, or in epi- 
lepsy. It may be given per orem or hypodermically. It must 
be given in full doses in severe cases. 

1$, Moschi, gr. vij. 

Gum acacia, 3ss. 

Aquse foeniculi, §j. 

Syr. aurant. cort., Sj- 
Misce. 

Sig. : A teaspoonful every hour or two. 
Indication: Infantile convulsions. 



CORNS. 

Soften the corn at night by covering it with a piece of 
flannel coated with soap and some spirits of wine. Afterward 
scrape it with a curette or a knife. Apply on eight successive 
days a layer of the following collodion : — 

I£ Fluidextracti cannabis Indicse, gr. v. 

Acidi salicylici, gr. xv. 

Alcoholis (90 per cent.), 3ij. 

iEtheris, m xlv. 

Collodii flexile, gr. iv. 
Misce. 



104 Hand-Book of Modem Treatment. 

On the eighth day, after bathing the foot for a long time 
in hot water, scrape away with a curette or knife the mass of 
collodion, and along with it the greater part or all of the 
corn. If necessary, the treatment may be repeated. 

A common and often efficient remedy is to place upon the 
corn a round piece of lemon dnring one or several succeeding 
nights. 

Cantharidal collodion or salicylic ointment is also used. 
Different caustics should be used with extreme caution. Sur- 
round the very painful corns with a special ring of wool or a 
corn-plaster. When the corn is situated between the toes, keep 
the latter separated with a pad of fine cloth, and dust the corn 
with a powder of tannin, alum, or oxide of zinc. Certain au- 
thors recommend the following method: (1) moisten the corn 
with a concentrated solution of salicylic acid in alcohol; (2) 
cover with powdered salicylic acid and make a sealed covering 
with a small piece of cotton wadding; (3) renew the dressing in 
four or five days, and if there is any inflammation, stop the 
treatment. About the eighth day remove the corn by soaking. 

1$. Extracti cannabis Indicse, gr. ij. 
Acidi salicylici, gr. xx. 
Olei terebinthince, m x. 
Acidi acetici glaciale, gr. iv. 
Cocainse ( alkaloidal ) , m iv. 
Collodii, q. s. ad 3iiiss. 
Misce. 

Sig. : Apply a thin coating every night, put- 
ting each coating on top of the preceding one, 
until finally the whole drops off, bringing the 
indurated portion, and frequently the whole 
corn, with it. 

IJ Iodi, gr. ij. 

Collodii flexile, 3iij. 

Alcoholis, 3j. 

Potassii iodidi, gr. ij. 
Misce. 

Sig. : Paint the corn every night. 
Indication: Used in soft corns. 

A radical cure for corns consists in paring the callosity 
as closely as possible without causing any haemorrhage, then 
placing in the center of the corn a very small drop of croton-oil, 



Hand-Boofc of Modern Treatment. 105 

and bandaging for twelve hours. Then remove the bandage 
and paint the corn with reliable cantharidal collodion; a 
pustular bleb will result, in the formation of which the entire 
callosity, nucleus and all, will be raised without very much pain 
from the tissues beneath, and can be easily removed. The pro- 
cess should be conducted under the care of a surgeon to insure 
prompt sterilization of the part after the callus is removed. 
Healing has always been rapid, not requiring more than three 
or four days, with no liability to recurrence unless the foot 
is afterward abused. I have treated active, working patients 
without a loss to them of more than half a day of time. 

OORYZA AND COUGH. 

Ifc Extracti belladonnee, gr. V 8 . 

Pulveris camphorse, gr. j. 

Sulphatis quininse, gr. j. 

Pulveris opii et ipecacuanhas, gr. ij. 
Misce. 
Sig. : Take at one dose. 

For the slight colds often seen in the aged, even during 
warm weather, the main indication is for a stimulating expec- 
torant that will disturb the stomach as little as possible. Much 
better than the ordinary ammonium carbonate preparations, 
says International Clinics, under these circumstances, is the 
following formula : — 

IJ Spt. amnion, aromat., Sj. 

Spt. chloroform., 3ij. 

Aquae menthss pip., q. s. ad 5hj. 
Misce. 

Sig. : Teaspoonful every four hours. 
Indication : Cold in old people. 

The following is a successful treatment of coryza in 
infants : — 

IJ Spts. camphorse, in v. 

Tr. belladonnas, mij. 

Quininse sulphatis, gr. iij. 

Syrup tolutani, q. s. ad Sj- 
Misce. 

Sig.: One-half teaspoonful every three 
hours. 



106 Hand-Book of Modern Treatment. 

The relief of the immediate symptoms is best assured by 
local treatment. The following is a favorite prescription : — 

I£ Mentholis, gr. j. 

Camphorre, gr. j. 

Petrolati liquidi, Bj- 
Misce. 

Sig. : One drop in each nostril several times 
a day. 

The menthol and camphor increase the roominess of the 
meatus and usually afford prompt relief. The oil may be intro- 
duced by a small cotton tampon or preferably a bit of cotton 
on an applicator. 

Ifc Sodii salicylate gr. xx. 

Pulveris opii et ipecacuanha, gr. ij. 
Misce. 

Sig. : Give at first every three hours and 
later three times daily. 

Indication: Used in acute coryza. 

1$. Atropine sulphatis, gr. s / 25 . 
Camphorse, gr. vj. 
Quinine, gr. xij. 

Pilocarpine hydrochloride gr. 3 / 100 . 
Misce et fiant chartule no. xij. 
Sig. : One every hour for six hours and re- 
peat in eight hours. 

Indication: Used when membranes are dry 
and swollen. 

IJ Pulveris camphorse, gr. vj. 

Extracti belladonna, gr. iss. 

Bromidi quinine, gr. xij. 
Misce et fiant capsule no. xij. 
Sig. : One every hour until four doses are 
taken and repeat in six hours. 

IJ Cocaine, gr. ij. 
Camphore, gr. j. 
Olei rosas geranii, gtt. ij. 
Olei albi, fgj. 
Misce. 

Sig.: Drop into nose or put on pledget of 
cotton and place on each tonsil four or five 
minutes, having three or four drops on each 
pledget. 



Eand-Booh of Modern Treatment. 107 

I£ Syrupi tolu, 3iv. 

Syrupi scillae, giss. 

Vini ipecacuanha, §iss. 

Tinct. opii camphoratse, q. s. ad £vss. 
Misce. 

Sig. : One teaspoonful four times daily. 
Indication: Winter cough and cold. 

IJ Codeinse sulpha tis, gr. iij. 

Chloroformi, 3j. 

Syrupi pruni virginianse, §j. 

Tinct. lavand. comp., §j. 

Spts. vini gallici, 3j. 
Misce. 

Sig. : One teaspoonful every three or four 
hours. 

Indication: Used in early stages with exces- 
sive cough. 

I£ Camphorse, gr. xv. 

Quininse hydrochloratis, gr. xlv. 

Tinct. aconiti, gr. xl. 

Tinct. belladonnas, gr. xl. 

Sacchari lactis, q. s. 
Misce et fiant capsular no. xv. 
Sig. : One capsule every two or three hours. 
Indication: To relieve acute congestion. 

Ifc Salicin, gr. xv. 

Potass, bicarbonatis, gr. xx. 

Spts. setheris nitrosi, 3ss. 

Liquoris ammon. acet., 3iij. 

Aquse camphorae, q. s. ad §iss. 
Misce. 
Sig. : At one dose to be taken at bed time. 

I£ Codeinae, gr. iv. 

Acidi hydrochlor. diluti, 3ss. 

Spiritus chloroformi, 3iss. 

Syrupi limonis, §j. 

Aquge, q. s. ad giv. 
Misce. 

Sig. : A teaspoonful frequently when cough 
is troublesome. 

Indication: Used in hacking, irritable cough 
of phthisis. 



108 Hand-Book of Modem Treatment. 

Cannabis Indica is a good remedy in persistent coughs of 
pregnancy. Bromides sometimes are beneficial; the combined 
bromides of gold and strontium are also recommended. If the 
patient is angemic as well as nervous, the three valerianates 
of quinine, iron, and zinc should be given an hour after each 
meal, in doses of one grain. 

One very often meets with an annoying condition wherein 
the patient complains of a "tickling in the throat which makes 
me cough constantly." This will be relieved by the following : — 

I£ Codeinse, gr. j. 

Acetphenetidini, gr. ij. 

Pulveris glycyrrhizae, gr. xvj. 

Sacchari lactis, q. s. 
Misce et fiant chartulse no. viij. 
Sig. : Dissolve one in mouth every hour. 

IJ Spiritus setheris nitrosi, 3ij. 

Amnion, muriat., 3j. 

Pulveris opii et ipecacuanha, 3j. 

Syrupi simplicis, q. s. ad Siij- 
Misce. 

Sig. : Shake well and give from one to two 
teaspoonfuls according to age of child. 
Indication: Used in cough of measles. 

The following is a well-tried combination for the relief of 
the cough in bronchitis: — 

I£ Codeinae sulph., gr. iij. 
Amnion, chloridi, 3iss. 
Spts. chloroformi, 3iss. 
Syr. tolutani, §j. 
Fluidextracti glycyrrhizse, §j. 
Acidi hydrocyanici dil., gtt. xv. 
Aquse, q. s. ad giv. 

Misce. 

Sig. : One teaspoonful every four hours. 

This might be made more palatable by the omission of the 
glycyrrhiza or of the syrup of Tolu, especially in cases with 
impaired digestion or appetite. 



Hand-Book of Modem Treatment. 109 

I£ Amnion, muriat, gr. viiss. 

Mist, asafcetida, f3iv. 
Sig. : One dose as necessary for after-cough 

from habit. 

For the night cough of habit Boyland gives 2 grains of 
terpin hydrate at bedtime and in the early morning. For the 
nervous cough of mothers during whooping cough in the house- 
hold, Bartholow gave : — 

I£ Acidi hydrocyan. dil., m ii-iv. 

Syr. Tolu., m xxx-xl. 

Aquae laurocerasi, q. s. ad f3j. 
Misce. 

Sig. : A teaspoonful or t^wo every three or 
four hours. 

COUGH OF CONSUMPTIVES. 

IJ Morphinae sulphatis, gr. ij. 

Acidi sulph. dil., gtt. viij. 
VTisce et adde 

Vini ipecacuanha, 3iij. 

Tinct. serpentarise, 3vj. 

Spir. vini, 3j. 

Syr. prun. Virg., q. s. ad %iv. 
Alisce. 
Sig. : Teaspoonful when required. 

It is certainly safer to allay cough by means of a non- 
poisonous local anaesthetic than by morphine or any other nar- 
cotic. Such an agent, according to Saenger, of Magdeburg, 
is menthol. A few crystals may be vaporized in a spoon over a 
flame and inhaled, or a few drops of a 40- or 50-per-cent. 
alcoholic solution may be rubbed between the hands and the 
hands then held before the nose. At first the cough is intensi- 
fied, but it soon subsides. This result can be produced, how- 
ever, only if the mucous membrane is free from accumulated 
secretion. The remedy acts well in whooping-cough, but it 
should not be used in cases of acute inflammatory disease of the 
lung or pleura or if there is a tendency to haemoptysis. 



110 Eand-Book of Modern Treatment. 

IJ Heroin, gr. ij. 

Syrupi tolu, 3iiss. 
Misce. 

Sig. : One teaspoonful three times daily. 
Indication: Used as sedative in excessive 
cough. 

IJ Tinct. opii camphoratse, 3ij. 

Vini ipecacuanha^ 3ij. 
Misce. 

Sig. : Ten to 15 drops. 

Indication : Sedative and expectorant for a 
child. 



CRETINISM. 

IJ Glandulse thyroidese siccae, gr. x. 

Sacchari lactis, gr. xxx. 
Misce et fiant tabellse no. xx. 
Sig. : One three times daily and increase 
according to need and toleration. 



CROUP, MEMBRANOUS.— See Diphtheria. 



CROUP, SPASMODIC. 

IJ Hydrargyri chloridi mitis, gr. iij. 

Saccharinse albae, gr. xxx. 
Misce et fiant chartulse no. viij. 
Sig.: One powder every two hours, alter- 
nating with the following: — 

IJ Apomorphinse hydrochlor., gr. Ve- 

Acidi hydrochlor. dil., m ij. 

Syr. simplicis, 3ij. 

Aquse dest., q. s. ad §iv. 
Misce. 

Sig. : One or two teaspoonfuls every two 
hours. 

The two remedies are given alternately every two hours; 
so that the patient gets calomel one hour and apomorphine the 
next. For children under two years the dose o£ calomel is re- 



Hand-Book of Modern Treatment. HI 

duced to 1 / 6 grain. Both prescriptions may be repeated, and 
in the author's cases more than two repetitions were never re- 
quired. The calomel should be discontinued as soon as ameli- 
oration sets in, lest untoward results appear. 

IJ Chloralis, gr. lxxv. 

Potassii bromidi, gr. xlv. 

Ammonii bromidi, gr. xxx. 

Aquae cinnamomi, §ij. 
Misce. 

Sig, : One teaspoonful and repeat in twenty 
minutes if not relieved. 

The bichromate of potash is of marked value in pharyn- 
geal irritations, and will be found eminently satisfactory in 
spasmodic croup. Many times the efficiency of this drug will 
be increased by combining with it apomorphine. One-tenth 
grain of each placed in 2 ounces of hot water and a teaspoon- 
ful of hot solution administered every fifteen minutes will pro- 
duce decidedly beneficial results after a few doses. 

S. E. Wertman, after having lost several cases of croup of 
an unusually severe and malignant character, resorted to hy- 
podermics of pilocarpine hydrochlorate, from which he obtained 
surprisingly good results. Injections of pilocarpine, from 1 / 48 
to V24 grain, were given. In each case improvement was no- 
ticed within a few hours; the disease was entirely checked, 
one or two days being sufficient to effect a cure. In only one 
case was the second injection made. 

SPASMODIC OR CATARRHAL CROUP. 

B Mentholis, 3ij. 

Misce. 

Sig. : Volatilize about 10 grains in room, by 
placing in spoon and applying heat. 

Indication: Used to relieve attack. Wrap 
cold cloths around neck. An emetic is a valu- 
able adjunct to this treatment if child does not 
promptly improve. 

The following combination, containing creosotal, is recom- 
mended in the treatment of croup contracted by children be- 
tween the ages of five and ten years: — 



112 Rand-Book of Modem Treatment. 

R. Creosotal, gr. xlv-3j. 

Liq. amnion, anis., m xv. 

Syr. senegse, Sss. 

Infus. ipecac, rad., Siss-Biij. 
Misce. 

Sig. : One teaspoonf ul every hour until 
fever diminishes, then every two or three hours. 

f£ Syrupi ipecacuanha?, f3iss. 

Tinct. opii camph., f3ij. 

Syrupi scillse, f B j - 

Liq. potass, citrat., q. s. ad fSiij- 
Misce. 
Sig. : Teaspoonful every two hours. 



CYSTITIS. 

The following treatment is recommended in this condi- 
tion : In acute cystitis the chief indications are rest in bed, 
light diet, bowels kept open, nrine rendered bland and unirri- 
tating by copious draughts of water, milk, buttermilk, whey, 
and lithia water. Hot fomentations to the pelvis or hot sitz 
baths lessen the congestion and relieve the pain. In women, hot 
vaginal douches should be given once or twice daily. These, as 
a rule, are sufficient to make the patient comfortable; if not, 
suppositories may be given. 

1$ Morphinse sulphatis, gr. l / 12 . 

Ext. belladonna?, gr. V 4 . 

Ext. hyoscyami, gr. 1 / 4 . 

01. theobrom., gr. xij. 
Misce et fiat suppos. no. j. 
Sig. : One such introduced into the rectum 
every few hours as required for the pain. 

Urotropin or cystogen in 5- to 10- grain doses is valuable 
to make the urine antiseptic, but is particularly indicated 
when the urine is alkaline. The author states that irrigations 
should not be given in hyperacute cystitis or if there is an acute 
urethritis or nephritis, but may be used with decided benefit in 
the subsiding stage to prevent the cystitis from becoming 
chronic. The fluid should have about the same specific gravity 
as the urine. The following has given very satisfactory results: 



Hand-Book of Modern Treatment. 113 

I£ Acidi borici, 3j. 

Sodii biboratis, 3j. 

Sodii chloridi, gr. xxx. 
Misce. 

Sig. : Dissolve in a quart of hot water and 
use as irrigation. 

As the disease becomes chronic the irrigations should be 
made more stimulating, as mercuric chloride, 1-5000 to 
1-800; potassium permanganate, 1-12,000 to 1-1000, or nitrate 
of silver, 1-4000 to 1-800. 

As an antiseptic and sedative given internally the follow- 
ing:— 

I£ Fluidextracti belladonnas, m xx. 
Sodii boratis, 3ij. 
Acidi benzoici, gr. xx. 
Tinet. opii camph., giss. 
Olei gaultherise, m xij. 
Syrupi, gij. 

Aquse destil., q. s. ad §iv. 
Misce. 

Sig. : One dessertspoonful in water four 
times a day. 

When the urine is acid the following is of service as an 
antiseptic : — 

I£ Potassii acetatis, 3iv. 

Liq. potassii hydroxidi, f3j. 

Fluidextracti uvse ursi, 3iv. 

Tinct. hyoscyami, 3iv. 

Tinct. lupulini, 3iv. 

Aquse, §ij. 

Syr. zingiberis, q. s. ad §viij. 
Misce. 

Sig. : One tablespoonful in water after meals 
and at bed time. 

For cystitis, where there is a sanguineous discharge: — 

IJ Potassii bromidi, 3iv. 

Tinct. gelsemii, 3ij. 

Fluidextracti ergotse, 3ss. 

Spt. aetheris nitrosi, q. s. ad %iv. 
Mix and make into solution. 
Sig. : Teaspoonf ul three or four times daily 
in water. 



114 Hand-Book of Modem Treatment. 

The following combination has proved very satisfactory in 
the treatment of cystitis associated with alkalinity of urine: — 

IJ Saloli, gr. v. 

Acidi boracici, gr. v. 
Codeine sulph., gr. %. 
Misce et fiat chartula no. j. 
Sig.: One powder after meals and at bed 
time. 

I£ Atropiffi sulphat., gr. j. 

Acidi acetici, m xx. 

Alcoholis, §ss. 

Aquse, Sss. 
Misce. 

Sig.: Four drops in water before each meal, 
in acute cystitis. 

Indication: Used in acute cystitis. 

I£ Acidi benzoici, 3iiss. 

Sodii biborat., 3v. 

01. gaultherise, m xv. 

Aquse, ad §ij. 
Misce. 
Sig. : One drachm after meals. 

IJ Tinct. opii camphoratae, §ij. 

Vini ipecacuanhas, Sij- 

Spiritus setheris nitrosi, gij. 
Misce. 
Sig. : Teaspoonful three times a day. 

Elaterium is one of our best remedies in inflammatory 
difficulties like cystitis, when used in small, oft-repeated doses 
— when there is an uneasy burning after urinating, as if all 
had not been voided. Give: — 

I£ Tr. elaterii, 3ij. 

Tr. belladonna spec, gtt. xvj. 

Mucilaginis acacise, 5j- 

Aquae dest., q. s. ad §iv. 
Misce. 
Sig.: A teaspoonful every one or two hours. 

This is specific for this condition. 



Hand-Book of Modern Treatment. H5 



ffc Morphinae acetatis, gr. iv. 

Tinct. veratri viridis, 3j. 

Tinct. hyoscyami, 3ij. 

Syrupi zingiberis, 5j- 

Aquae, q. s. ad §iij. 
Misce. 

Sig.: Teaspoonful in water every four 
hours. 

Indication: Acute cystitis with haemorrhage 
and pain. 

I£ Potassii acetat., 5j- 

Fluidextracti buchu, §j. 

Sp. aetheris nitrosi, gj. 

Codeinae sulph., gr. iv. 

Infus. tritici repent., q. s. ad Oj. 
Misce. 
Sig. : One-half ounce every three hours. 

I£ Fluidextracti pichi, 3iv. 

Potassii citratis, 3iij. 

Tinct. hyoscyami, 3ij. 

Spt. aetheris nitrosi, 3iij. 

Elixiri aurantii, q. s. ad Bij- 
Misce. 

Sig. : One teaspoonful in water one hour and 
a half after meals. 

Indication: Acute cystitis and urethritis. 



DANDRUFF. 

IJ Potassii carbonatis, 5ss. 

Ammon. carbonatis, 3ss. 

Glycerini, 3iv. 

Aquae, Sviij. 

Spiritus vini, ^viij. 

Olei lavandulae, gtt. vj. 
Misce. 
Sig. : Hair-wash as indicated. 

I£ Resorcinolis, 3ij. 

Glycerini, f§ss. 

Alcohol, q. s. ad f^vj. 
Misce. 

Sig. : Clean scalp with soap and water and 
apply this lotion. 



116 Hand-Booh of Modern Treatment. 

I£ Camphora, 3j. 

Alcoholis, f3vij. 

Aquae rosse, f3ij. 
Misce. 

Sig. : Apply directly to scalp by means of 
atomizer. 



IJ Ung. sulphuris, 3iv. 

Petrolati, §ij. 
Misce. 
Sig. : Apply freely night and morning. 



DEBILITY.— See Asthenia. 

I£ Acidi phosphorici diluti, 3j. 

Fluidextracti cocse, 3ss. 

Fluidextracti damianae, §ss. 

Tinct. nucis vomicae, m x. 

Syrupi zingiberis, 3j. 

Aquae, q. s. ad Bj- 
Misce et fiat dosis. 

Sig.: To be taken in water at 11 A.M. and 
6 P.M. 



I£ Ferri et ammon. citratis, gr. v. 

Tinct. nucis vomicae, m v. 

Tinct. cinchonae comp., q. s. ad 3j. 
Misce. 

Sig. : One teaspoonf ul three times daily 
after meals. 

I£ Tinct. nucis vomicae, gr. v. 

Acidi phosphorici diluti, m viij. 

Syrupi hypophosphitis, q. s. ad 3j. 
Misce. 
Sig. : One teaspoonful three times daily. 

I£ Tinct. ferri chloridi, 3j. 

Elixiris gentianae comp., §ij. 
Misce. 

Sig. : One-half to 1 teaspoonful three times 
daily. 



Hand-Book of Modern Treatment. \YJ 



DELIRIUM TREMENS.— See Alcoholism. 

In delirium tremens with insomnia, great excitability and 
inability to retain food, the following active cathartic is recom- 
mended : — 

I£ Pulv. jalapse co., gr. x. 

Hydrargyxi chloridi mitis, gr. v. 

Sodii bicarb., gr. v. 
Misce et fiat chartula no. j. 
Sig. : To be taken at one dose. 



Should the heart show any signs of weakness the following 
is recommended: — 

I£ Tinct. capsici, 3iv. 

Tinct. digitalis, 3iv. 

Tinct. nucis vomicae, 3ij. 

Spts. ammon. arom., q. s. ad §iij. 
Misce. 

Sig. : One teaspoonf ul in water every four 
hours. 



In cases of extreme nervousness accompanied by insomnia, 
sedatives will be required, and in extreme cases a hypodermic 
of morphine. 

Chirata has been used in India for many years as a cure for 
drunkenness. The plant is held in high esteem among the 
natives, and the missionaries employ it extensively for the 
cure of drunkenness. A correspondent, who was chaplain to 
an army post and in charge of a mission in India for many 
years, informs us that he has seen very good results from the 
use of chirata in habitual drunkenness. He adds that the 
drug seems to be more intensely bitter than gentian, quassia, 
etc., and attributes the effect of chirata upon alcoholics to this 
property. The disgust for drink which it creates is only tem- 
porary, however, and the patient must take the drug from time 
to time when the craving for alcohol returns. The best way 
to administer it is in the form of an infusion ( 1 / 2 ounce of 



118 Hand-Book of Modern Treatment. 

chirata to 1 pint of boiling water), the dose of which is from 
1 to 2 ounces three times daily. 

Some recommend the use of hyoscin hydrobromate in av- 
erage doses of 1 / 200 of a grain combined with 1 / 600 grain of 
atropine sulphate and 1 / 150 grain of strychnine sulphate in the 
treatment of morphine and cocaine habitues and habitual 
drinkers. 

The treatment necessitates a special nurse day and night, 
inasmuch as the patient is purposely kept in a state of mild 
delirium for a period varying from thirty to ninety-six hours. 
The dosage varies with the patient, but it is repeated every 
two to six hours as indicated by dryness of mouth, dilatation 
of pupils, and delirium. 

Sleep is not usually produced. When the patient is allowed 
to emerge from the influence of the hyoscin he soon develops 
a vigorous appetite, sleeps soundly after the first two or three 
nights, regaining his normal vigor and weight in the course 
of a month. Too few cases are reported to make this article 
of more than passing interest, but as a large number of observ- 
ers have recently tried the same method, we shall, no doubt, 
soon have reliable data at our command. 

I£ Potas. bromidi, gr. v. 

Sodii bromidi, gr. v. 

Chloralis hydratis, gr. x. 

Tinct. zingiberis, m v. 

Tinct. capsici, m v. 

Spts. amnion, aromat., m x. 

Aqua, q. s. ad 3j. 
Misce. 

Sig. : One dose such as this three times 
daily. 



DENTITION. 

The argument that dentition is a purely physiological 
function and therefore cannot cause pathological phenomena is 
regarded as untenable. When the gums are hot and tense, then 
frequent rubbing with the following combination will give 
proper relief: — 



Eand-Bobk of Modern Treatment. 119 

I£ Potassii bromidi, gr. xx. 

Chloralis hydratis, gr. x. 

Tinct. aconiti rad., m v-xv. 

Spts. chloroformi, 3j. 

Mucilaginis, q. s. ad §j. 
Misce. 

Sig. : Apply to the gums frequently by rub- 
bing. 

At the same time he recommends that the following be 
given internally: — 

1^ Potassii bromidi, gr. iii-v. 

Chloralis hydratis, gr. i-ij. 

Aquse destil., q. s. ad 3ij. 
Misce. 
Sig. : To be given at one dose by the mouth. 

The foregoing mixture may be given in double the size 
dose, per rectum, using starch-water as a vehicle. 

Ifc Tinct. iodi, m lxxx. 

Tinct. opii, m lxxx. 

Tinct. gallae, m lxxx. 

Acidi carbolici, m viij. 
Misce. 

Sig.: For painting on the gums twice daily. 
Indication: Useful in dental periostitis. 

$ Phenolis, 3j. 

Essentia? limonis, 3j. 
Alcohol, 3v. 
Misce. 

Sig. : Wash and dry the cavity, soak a small 
piece of cotton with the solution, insert, and 
then cover it with another small piece of cotton 
soaked in tincture of benzoin. 

Indication: Useful in dental caries. 



DERMATITIS. 

I£ Ichthyolis, 3ij. 

Ung. zinci oxidi, q. s. ad §ij. 
Misce. 

Sig. : Apply freely once daily and wrap well 
in gauze. 

Indication: Useful in burns. 



120 Hand-Booh of Modern Treatment. 

I£ Ung. zinci oxidi, 5j. 
Ung. aquae rosae, %j. 
Misce. 

Sig.: Apply freely. 
Indication: Useful in burns. 

I£ Acidi picrici, gr. lxxv. 
Alcoholis, t^iiss. 
Aquae destillatae, Oij. 
Misce. 

Sig. : Soak gauze in this and apply and leave 
several days. Remove this and reapply and 
leave a week. 

I£ Balsami peruviani, 3j. 
Resorcini, gr. x. 
Ung. aquae rosae, 5j. 

Misce. 

Sig. : Treat antiseptically and apply. 

Indication: Useful in frost-bite. 

Ifc Liq. plumbi subacetatis, %iv. 

Tincturae opii, 5j- 

Aquae, Bxvj. 
Misce. 

Sig.: Soak gauze and apply. 
Indication: Useful in ivy poisoning. 

IJ Fluidextracti grindeliae robustae, 3iv. 

Aquae, Oij. 
Sig. : Apply continuously in ivy poisoning. 

B Tinct. lobeliae, &]. 

Aquae, Oij. 
Misce. 

Sig.: Apply gauze soaked in this in ivy poi- 
soning. 



DIABETES INSIPIDUS. 

A man of 49, previously healthy, developed a typical dia- 
betes insipidus after a severe concussion of the nervous system. 
Strychnine was administered — fifteen injections during twenty 



Eand-Book of Modern Treatment. 121 

days — a total of 0.0905 gram of spermine nitrate. The 
urine subsided from a daily 8000 cubic centimeters to 3400 
cubic centimeters. The strychnine was discontinued on account 
of symptoms of intoxication, but the urine continued its down- 
ward course to 2400 and 1700 cubic centimeters and the patient 
is apparently cured. The density of the urine remained un- 
influenced by the str}'chnine. It ranged from 1.007 to 1.002. 
The persistence of this figure for the specific gravity forbids 
the assumption of a complete cure, but the subsidence of all the 
symptoms certainly justifies further trials of strychnine in 
such cases. 

R. Acidi gallici, £ss. 
Pone in capsulas no. xxiv. 
Sig. : One after each meal. 

I£ Fluidextracti ergotae, §iv. 

Sig. : Thirty minims after each meal. 

DIABETES MELLITUS. 

The following combination containing boric acid, it is 
claimed, has been of curative benefit in treatment of diabetes. 
The cases in which it was used were young persons : — 

IJ Acidi borici, gr. xx. 

Glycerini, 3j. 

Liq. arseni chloridi, m v. 

Liq. strych. hydrochlor., m x. 

Aquae destil., q. s. ad §j. 
Misce. 

Sig.: To be taken at one dose and repeated 
three times a day. 

The arsenic and strychnine preparations are of 1-per-cent. 
strength as contained in the British Pharmacopoeia, and conse- 
quently the above dose of strychnine is on the border-line of 
danger and probably should never be prescribed in such size 
doses. It should be prescribed in doses of 3 to 5 minims. 

Phosphoric acid diminishes thirst and lessens the quantity 
of urine. Pilocarpine nitrate, 1 / 24 grain in diluted spirit, may 
be placed on the tongue four times a day. Duchenne recom- 



122 Hand-Book of Modern Treatment. 

mends potassium phosphate, 2 parts in 75 of water — a drachm 
of the solution twice or thrice daily in wine or hop tea. 

Faulds has employed with success an infusion of eucalyptus 
in the treatment of diabetes as follows : — 

I£ Eucalyptus flores (dried), 3iv. 

Aquse, ^vj. 
Misce et fiat infusum. 

Sig. : One such draught to be taken twice 
daily. 

He states that he has obtained good results in 15 out of 16 
cases. In one case, a girl of 18, in which there were 60 grains 
of sugar to the ounce of urine passed, after four days' treat- 
ment only 1 grain to the ounce was passed, and on the sixth day 
none. He, however, thinks it of service only in those cases due 
to gout, overindulgence in food, or cold. It does not seem to be 
of service in those cases dependent on vasomotor disturbance 
affecting the blood-supply to the hepatic cells, as no improve- 
ment was shown in those cases. Eucalyptus-oil or eucalyptol 
will not produce the same results as the infusion. 

Some recommend the use of aspirin in the treatment of 
glycosuria and diabetes mellitus. This preparation seems to 
have the most influence in the less severe forms and is less ser- 
viceable in the acute forms in young individuals. In order to 
produce any reduction in the milder forms it should be given 
in doses of 15 grains each four or five times a day. The pa- 
tient should be watched for the appearance of toxic symptoms. 
It is best to begin with a small dose, 10 grains two or three 
times a day, and gradually increase the dose. 

There is no disorder of the system in which empiricism 
has assumed a more important place in therapeutics than in 
the treatment of diabetes mellitus. W. E. Jones states that 
he derived splendid results from the use of uranium nitrate in 
the treatment of this disorder of metabolism. In every case in 
which this preparation has been used by the author great im- 
provement has resulted. It should be given in doses of from 
Ve to 1 / 2 grain four times a day, administered in water, alcohol, 
or glycerine. The salts of uranium, while not luminous, are 
strongly fluorescent, which, according to the writer, lends inter-' 



Hand-Book of Modem Treatment. 123 

est because of the discussion of radium at the present time. 
But whether the fluorescent property in any way affects metab- 
olism cannot be stated. He refers to the action of uranium 
on the skin producing a fine desquamation of the superficial 
layers of the epidermis somewhat similar to the effect of the 
x-ray. The degree, however, is very moderate and gradual. 
The general nutrition and activity of the skin are increased as 
well as the diaphoretic action, so that it is recommended for 
its beneficial effects on metabolism. It is a yellowish-green, 
crystalline solid, soluble in water, alcohol, ether, and glycerine. 
Some authors give it in 1- to 2-grain doses. 

IJ Benzosol, gr. xlviij. 

Sodii benzoatis, 3iv. 

Aeidi arsenosi, gr. j. 

Sodii salicylatis, 3iij. 
Misce et fiant capsular no. xlviij. 
Sig. : Two capsules one hour after meals and 
at bed time. 

Indication: Useful in subacute cases. 

I£ Sodii sulphocarbol., 3ij. 

Salicini, 3j. 

Phenacetini, 3ij. 

Ammon. benzoatis, 3iv. 
Misce et fiant capsular no. xlviij. 
Sig. : Two capsules one-half hour after 
meals. 

Diabetes mellitus can affect one of normal development 
as well as can the diabetes produced by brain or pancreas disease. 
That the primary disease is of little importance in the treat- 
ment is his belief. The greater number of cases of diabetes 
mellitus is met in persons who are predisposed, the disease 
being brought out by some deleterious influence. Adipose per- 
sons, and especially adipose children, are prone to develop the 
disease. 

In this class of individuals excessive eating of carbohy- 
drates, sweets, and beer is to be avoided, while mental and 
physical exercise is to be encouraged. Milk, green vegetables, 
and unsweetened fruits are to be allowed. In this disease the 



124 Hand-Book of Modem Treatment. 

capacity (tolerance) of each individual is to be determined. 
Medium and mild degree cases should receive treatment re- 
gardless of any complication, of which tuberculosis is the worst. 
The tolerance to sugars is to be increased, if possible, and the 
sooner a case is treated the greater is the chance of benefit, 
especially since the diabetes tends to grow worse in all cases 
with a percentage greater than one. Opium, quinine, arsenic, 
carbolic acid, etc., exert a beneficial influence on the sugar 
output, but it is not lasting. These remedies, however, are of 
value when used in conjunction with the dietetic regimen. The 
number of calories necessary for each individual is to be de- 
termined and his diet list arranged accordingly. The end to 
foe obtained is a sugar-free urine, and in any case the sugar 
should be kept below one-half per cent, if possible. Where the 
sugar has disappeared a very gradual return to regular diet may 
be cautiously tried after two weeks in which no sugar has been 
present in the urine. Mild cases require about two months 
of treatment before the sugar-free period is obtained. Massage, 
baths, and gymnastics are of value in selected cases. 

The urine should be examined during the first six months 
every two weeks, after this every month; and every attack of 
indisposition should be investigated without delay. 

For secondary symptoms the following is recommended: — 
Stomatitis. — The stomatitis, gingivitis, and pyorrhoea, the 
loosening and caries of the teeth, may be due either to localized 
infections or to trophoneurotic influences. The mouth-manifes- 
tations are among the most distressing symptoms of diabetes. 
It is important that every case of diabetes should, from the 
beginning, be instructed carefully in regard to the possibility 
of mouth-complications, and taught how to obtain mouth 
asepsis and to perform the proper toilet of the teeth and gums. 
After each meal a diabetic should rinse his mouth and cleanse his 
teeth, preferably with a 3-per-cent. solution of sodium carbonate 
in warm water, to which may be added, as a flavor, a few drops 
of tincture of eucalyptus or a little menthol. Mechanical irregu- 
larities of the teeth should be corrected early, preferably during 
the aglycosuric period. All articles of food that can mechanic- 
ally scratch or injure the gums, and very hot beverages, should 
be forbidden. A hard tooth-brush should never be used. 



Hand-BooJc of Modern Treatment. 125 



Excessive fcetor may be corrected by using the following 
rnouth-wash : — 

Ij Beta-naphtholis, gr. ij. 
Sodii biboratis, 3iiiss. 
Aquae ixienthse pip., §iv. 
Aquae dest., q. s. Oij. 

If the gums are painful and bleeding, the following mouth- 
wash is useful: — 



1$, Tinct. opii, gr. xx. 
Potassii chloratis, m x. 
Sodii biboratis, m x. 
Syrupi althseae officinalis, gij. 

Diarrhoea. — Fatty diarrhoea (steatorrhoea) is not uncom- 
mon. Here, possibly, the involvement of the pancreas and he- 
patic insufficiency can be made responsible. The fats in the diet 
should be reduced. Sodium carbonate, or calcium carbonate, 
in 10-grain doses, with pancreatin or ox-gall, of each, 5 grains, 
should be administered at frequent intervals during the day. 

Constipation. — Obstinate constipation is often a trouble- 
some and a dangerous complication. It, too, not infrequently 
precipitates coma if allowed to persist. Here absorption of 
bowel-poisons from stagnation and putrefaction of bowel-con- 
tents must be accused of determining the attack of coma. Usu- 
ally abundant fat-feeding and the restriction of carbohydrates 
are enough to counteract the constipation. Saline waters or a 
lemonade made as follows: — 

IJ Glycerini, m vj. 
Aeidi citriei, gr. x. 
Aquae, §iv. 

the whole quantity to be administered during the day, are all 
useful measures. The best medicines to counteract the con- 
stipation in diabetes are rhubarb and soda mixtures, either 
mistura rhei et sodas 2 drachms to 3 ounces, or the following 
powder : — 



126 Hand-Book of Modern Treatment. 



Ifc Radicis rhei, gr. v. 

Sodii bicarbonatis, gr. v. 

Sulphuris prsecipitati, gr. v. 
Misce. 

Sig. : To be taken at night, preferably in 
milk. 

Pruritis. — Pruritis,' either general or localized, especially 
about the genitals, is one of the earliest, most distressing, and 
most obstinate symptoms of diabetes. General pruritis is pre- 
sumably due to irritation of the cutaneous nerves by circulat- 
ing sugar. In most cases its intensity fluctuates with the 
degree of glycosuria, and the symptom frequently disappears 
without further interference when the urine becomes sugar-free, 
only to reappear again, however, when more liberal carbohydrate 
feeding is instituted and the hyperglycemia increases. The 
best remedy for internal use, and almost a specific, is sodium 
salicylate, in doses of 30 grains, several times a day. Local 
applications are of very little value in general pruritis. 

In pruritus around the genitals, due in many cases to the 
development of fungi (mycosis vulva?), treatment directed 
towards the reduction of the glycosuria, sodium salicylate in- 
ternally and anodyne powders applied locally, usually relieves. 
A 5-per-cent. cocaine ointment or 2 / 3 -per-cent. eucaine ointment 
or a dusting powder containing 10 per cent, of orthoform, com- 
bined with frequent washing of the parts without rubbing or 
scratching, usually produces prompt relief. 

I£ Saccharin, gr. x. 
Pone in cachetas no. xx. 
Sig. : Place one or two in a cup of coffee. 
Indication: Useful when you can't use 
sugar. 

IJ Codeinse sulphatis, gr. x. 

Misce fiant pilulse no. xx. 

Sig. : One three times daily after meals. 

1$, Pulveris opii, 3ss. 
Misce fiant chartulse no. xxx. 
Sig.: One three times daily one hour after 
meals. 



Hand-Boofc of Modern Treatment. 127 

I£ Sodii salicylates, 3vj. 

Aquae, q. s. ad §iv. 
Misce. 
Sig. : One teaspoonful t.i.d. after meals. 



I£ Liquor potassii arsenitis, 3iv, 

Sig.: One drop three times daily after meals 
and increase one drop daily until physiological 
effect is produced. 

Indication: Used in anaemic patients. 



I£ Strontii salicylates, 3iv. 

Liq. potassii arsenitis, m xx. 

Potassii iodidi, 3ij. 

Aquae, q. s. ad %\ T ij. 
Misce. 

Sig. : One teaspoonful in water after meals. 
Indication: Used in anaemic and rheumatic 
patients. 



DIARRHCEA. 

IJ, Tinct. opii camphor atae, f^ij. 

Fluidextracti hamamelis, 3j. 

Acidi carbolici, 3j. 

Fluidextracti kino, f3ij. 

Tinct. zingiberis, foij. 

Calcis praecipitatae, §j. 

Syrupi, q. s. ad §viij. 
Misce. 

Sig. : Shake before using and take 1 tea- 
spoonful every three hours. 



B Bismuthi subnitratis, 3ij. 

Iodoformi, gr. xxiv. 

Saloli, gr. xxiv. 

Acidi tannici, 3ij. 
Pone in cachetas no. xij. 
Sig. : One cachet every six hours. 
Indication: An intestinal tuberculosis. 



128 Hand-BooJc of Modern Treatment. 



fy Bismuthi subnitratis, gr. xxx. 
Salolis, gr. v. 

Misce. 

Sig. : One such powder every six hours until 
relieved. To prevent recurrence continue the 
remedy for some time, giving it, however, less 
frequently. Restrict the diet principally to 
eggs and malted milk. 

Indication: Chronic fermentation diarrhoea. 



1$ Acidi carbolici, m xxiv. 

Tinct. opii deodoratse, 3j. 

Bismuthi subnitratis, 3iv. 

Acacia? pulv., q. s. 

Syrupus, q. s. ad 3viij. 
Misce et fiat emulsum. 
Sig. : Dessertspoonful every three hours. 

B Morphine sulphatis, gr. j. 

Quinine sulphatis, 3j. 

Magnesii sulphatis, §ij. 

Acidi sulph. aromat., q. s. sol. 

Aquse menthte pip., q. s. ad %iv. 
Misce. 

Sig. : One to two teaspoonfuls in' a glass of 
water after meals. 

Indication: Chronic diarrhoea. 



I£ Bismuthi subnitratis, gr. x. 

Sodii sulphocarbolatis, gr. iij. 

Cinnamomi, gr. ij. 

Opii, gr. ss. 
Misce. 

Sig. : One dose to be repeated every two or 
three hours as long as needed. 

IJ Hydrargyri chloridi mitis. 

Pulveris opii. 

Bismuthi subnitratis. 
Misce et fiant chartulse no. vj. 
Sig. : Give one every hour until al 1 are taken 
or the diarrhoea is controlled. 



Hand-Book of Modern Treatment. 129 

]?, Capsici, gr. viij. 
Cinnamomi, gr. xvj. 
Geranii, gr. xxxij. 
Misce et fiant chartulse no. viij. 
Sig. : One in hot water every one, two, or 
three hours until relieved. 

Indication: Diarrhoea in which there is 
much blood. 

In persistent diarrhoea of the tuberculous, according to the 
International Clinics, the following is said to give satisfactory 
results where other means have failed: — 

R; Ichthyoform, 3ss. 

Tannalbin, 3j. 

Bismuthi subgall., 3j. 

Codeinse, gr. iss. 

01. menthse pip., m iss. 
Misce et divid. in chart, no. vj. 
Sig.: One powder every three or four hours 
according to indications. 

R> Bismuthi subsalicylatis, 3iiss. 

Zinci phenolsulphonatis, gr. iij. 

Liquoris calcis, f^iss. 

Tinct. opii camphoratsc, f3iv. 

Aquse dest., fgiss. 
Misce. 

Sig. : A teaspoonful every two hours and 
after each passage until the diarrhoea ceases. 

B. Pulveris ipecacuanha?, gr. x. 

Pulveris papain, 3j. 

Pulveris capsici, 3iss. 

Pulv. nucis vomicae, gr. x. 
Misce et fiant no. xl. 
Sig. : One three times daily. 
Indication: Fermentation diarrhoea. 

B> Benzonaphtholis, gr. ij. 

Bismuthi subsalicylatis, gr. v. 

Resorcinolis, gr. ij. 
Misce et fiat pulver. 
Sig. : Some every three hours. 

9 



130 Hand-Booh of Modern Treatment. 

IJ 01. ricini, 3iv-3j. 

Tinct. opii deodorati, m xv-xx. 

Misce. 

Sig. : Take at one dose. 

Indication: Used in acute diarrhoea with ab- 
dominal pain, due to eating decomposed or in- 
digestible food. In all diarrhoeas irritating 
foods and products of decomposition should be 
swept from the alimentary tracts before giving 
sedative or astringent remedies. 

1$, Tannigeni, 3ij. 

Bismuthi subnitratis, 3iv. 
Resorcini, gr. vj. 
Misce et pone in cachetas no. xij. 
Sig. : One cachet every two hours. 
Indication: Used in serous or mucous diar- 
rhoeas after ridding bowels of irritants and 
products of decomposition. 

For the diarrhoea that follows exposure to cold after a 
hearty meal, or that comes on from throwing off the bed clothes 
at night, the following is recommended: — 

IJ Tinct. capsici, 3iiss. 
Tinct. opii, 3iiss. 
Sp' -j. camphorse, 3iiss. 
Chloroformi, 3j. 
Alcoholis, q. s. ad Sij- 
Misce. 

Sig. : One teaspoonful every hour until re- 
lieved of pain; then one teaspoonful every two 
hours until the diarrhoea is effectually checked. 

$ Tinct. kino, 3vj. 

Tinct. opii, §j. 

Tinct. krameriae, 3vj. 

Tinct. chiratse, 3vj. 

Tinct. cardamomi comp., q. s. ad 3vj. 
Misce. 

Sig.: One ounce every three hours in water. 
Indication: Used in serous or mucous diar- 
rhoea with abdominal pain after bowel is rid of 
irritating material. 



Hand-Book of Modern Treatment. 131 



I£ Spiritus camphorge, §iij. 

Spiritus chloroformi, §iij. 
Misee. 

Sig. : One teaspoonful in water every hour. 
Indication: Abdominal pain and diarrhoea. 

R Aeidi (phenolis) carbolici, m x. 

Bismuthi subnitratis, gr. c. 
Misce et fiant chartulse no. x. 
Sig.: Take one every four hours. 

DIARRHCEA, CHILDREN. 

I£ Tannalbin, 3iss. 

Hydrarg. chloridi mitis, gr. j. 
Ipecacuanhas et opii, gr. xv. 
Saccharini, gr. y±. 
Misce et fiant chartulse no. xx. 
Sig. : One every two hours for first three 
doses; then every four to six hours for a 
child of one year. Two powders per dose for 
child three years old. 

IJ Magnesii sulphatis, gij. 

Tinct. opii camphoratse, 3ij. 
Aquse, q. s. ad §iv. 
Misce. 

Sig.: One teaspoonful until you get watery 
action and then as needed until complete re- 
covery. 

Indication: Green mucous diarrhoea of chil- 
dren. 

I£ Tannalbin, 3ij. 

Spt. cinnamomi, m iij. 
Pulveris aromaticse, gr. xv. 
Sacchari, gr. xv. 

Misce et fiant chartulae no. xv. 
Sig. : One every three hours. 

I£ Tinct. iodi, gtt. xv. 

Syrupi, 3iss. 

Aquae destil., q. s. ad §v. 
Misce. 

Sig. : One teaspoonful every two hours. 
Indication: Infantile diarrhoea. 



132 Hand-Book of Modern Treatment. 

I£ Bismuthi subnitratis, 3j. 
Hydrarg. cum cretse, 3ss. 
Pulveris hydrastis, 3ss. 
Misce et fiant chartulae no. xxx. 
Sig. : One every two or three hours for a 
two-year-old child. 

Indication: Cholera infantum and summer 
complaint. 

WHEN TO GIVE OPIUM IN DIARRHCEA OF YOUNG CHILDREN. 

It is contraindicated (1) in the first stage of acute diar- 
rhoea, before the intestinal canal has been freed from decom- 
posing matter; (2) where the passages are infrequent and of 
bad odor; (3) when there is a high temperature or cerebral 
symptoms are present; (4) when its use is followed by an ele- 
vation of temperature or the passages become more offensive. 
It is indicated (1) when the passages are frequent with pain; 
( 2 ) when the passages are large and watery ; ( 3 ) in dysenteric 
diarrhoea, together with castor-oil or a saline; (4) in later 
stages with small, frequent, and nagging passages; (5) when 
the passages consist largely of undigested food, and the bowels 
act as soon as food is taken into them. 

Most excellent results are secured from the use of gelatine 
in the diarrhoea of infants. Chemically pure gelatine is taken 
and dissolved in ten times its weight of boiled water. The so- 
lution is then sterilized in an autoclave at 120° C. for half an 
hour. The solution is then tubed, putting 10 cubic centimeters 
(representing 1 gram of gelatine) in each tube. The contents of 
one tube are then added to each bottle of milk given to the 
infant. In this way 8 grams of gelatine may be given a day, 
although 12 or even 14 grams have been used. The good effects 
of the treatment are seen very soon. The number of stools 
diminishes, they become more solid, and lose their green color 
and offensive odor. The general symptoms improve rapidly — 
often after four or five tubes. 

The medication finds its clearest indication in cases of 
dyspeptic diarrhoea without organic lesion. In true cholera 
infantum good effects are not obtained. The gelatine appears 
to have a direct effect upon the coagulation of the milk and upon 
the intestinal secretions. The fermentative and putrefactive 



Hand-Book of Modern Treatment. 133 

processes are stopped, perhaps by a purely physical process, as 
some experiments outside the body would seem to indicate. 

IJ Bisnmthi subnitratis, gr. x. 

Syrupi acaciae, m xx. 

Mist, cretae, q. s. ad f3j. 
Misce. 

Sig. : One such every two hours for a child 
one year old. 

Indication: Simple diarrhoea. 

IJ Magnesii sulphatis, gr. v-x. 
Tinct. rhei dulcis, m x. 
Syrupi zingiberis, m x. 
Aquas, q. s. ad f3j. 
Misce. 

Sig.: This may be given every half -hour for 
several doses until free watery movement en- 
sues. 

IJ Bismuthi subcarb., 3j. 

Aquae cinnamomi, £ij. 

Tinct. opii, gtt. ij. 
Misce. 
Sig. : Teaspoonful every one or two hours. 

IJ Phenolis, gtt. ii or vj. 

Mucilaginis, §ij. 
Misce. 
Sig. : Teaspoonful every two hours. 

IJ Argenti nitratis, gr. ij. 

Aquae dest., §ij. 
Misce. 
Sig. : Teaspoonful every two hours. 

IJ Resorcini, gr. ij. 

Aquae cinnamomi, §ij. 

Tinct. opii, gtt. ij. 
Misce. 

Sig. : Teaspoonful every two hours. 
Indication: Each of the above four prescrip 
tions useful in cholera infantum. 



134 Hand-Book of Modern Treatment. 

1$, Ammonii chloridi, gr. xxiv. 
Fluidextracti glycyrrhizae, %ss. 
Aquae, q. s. ad §iij. 
Misce. 

Sig. : One teaspoonful three times daily. 
Indication: Useful when much mucus is in 
stools. 



DIURETIC AND DIAPHORETIC. 

IJ Potassii acetatis, gr. xv. 

Potassii nitratis, gr. xv. 

Oxymelis scillae, 3iss. 

Syrupi sarsaparillae comp., 3iss. 

Infusi juniperus, giiiss. 
Misce. 
Sig. : To be taken during the day. 

I£ Ext. stigmat. maidis, gr. xlv. 

Ext. convallariae majalis, gr. xlv. 

Sodii benzoat., gr. xlv. 

Lithii carbonat., gr. xlv. 
Misce et fiant pilulae no. lx. 
Sig. : Give from four to ten daily. 

The following is recommended by the Practitioner to pro- 
duce diaphoresis in combating colds : — 

R, Pulv. camphorae, gr. v. 

Pulv. opii, gr. 7 3 . 

Potass, acetatis, gr. iij. 

Sacchari, 3iiss. 
Misce et fiat chartula no. j. 
Sig.: One such powder to be taken in cup of 
tea at bed time. 



EFFERVESCING DIAPHORETIC DRAUGHT. 

This well-known combination is useful : — 

I£ Potassse carbonatis, 3ij. 

Aquae destillatae, %iv. 
Solve. 



Hand-Book of Modern Treatment. 



~£y, Succi limonis recentis, f^ij. 
Aque destillate, fgij. 

Misce. 

Sig. : Mix two tablespoonfuls of the lemon- 
ade with one of the alkaline solution, and let 
the mixture be drunk while effervescing. To be 
repeated every two hours. This preparation is 
practically the well-known "neutral mixture," 
but is frequently better borne and its efferves- 
cence makes it more agreeable. 

B Digitalini crystal., gr. % . 

Pilocarpine hydrochlor., gr. 14. 

Sparteine sulph., gr. ss. 

Aquse destill., m-xv. 
Misce. 

Sig. : For hypodermic use. Repeat if neces- 
sary. 

IJ Pulv. ipecacuanhe et opii, 3j. 

Camphore, gr. v. 

Pulveris chocolate, 3ij. 
Misce et fiant ehartule no. x. 
Sig. : One at bed time with a warm drink. 
Indication : Diaphoretic. 

I£ Hydrarg. chloridi mitis, gr. j. 

Pulveris ipecacuanha?, gr. j. 

Sacchari lactis, gr. xx. 
Misce et fiant ehartule no. x. 
Sig. : One powder three times daily. 
Indication: Infants with green stools. 

1$. Tincture digitalis, f3iv. 

Sig. : Six minims four or five times daily. 

Indication : Diuretic. 

IJ Tinct. strophanti^, f3iv. 

Sig.: Five minims four times daily. 

B Theobromine sodii salicvlatis (diuretin), 

3ij. 
Sig. : Four grains six times daily. 



136 Hand-Book of Modern Treatment. 

DIPHTHERIA. 

If on account of poverty people cannot afford antitoxic 
serum, Curtius uses local treatment alone and has had excel- 
lent results with it. (Of 28 patients treated during one sum- 
mer with it alone, only 1 died.) He employs Loeffier's solution, 
the formula of which is as follows : — 

B Mentholis, gr. xxxviij. 
Solve in toluene, m cxl. 
Alcoholis absol., 3iv. 
Liq. ferri chloridi, m xv. 

This he believes to be the most efficient antiseptic solution on 
the market. He applies this until all the membrane particles 
have disappeared ; at first every three hours and later three times 
daily. He first removes the membrane as well as he can with a 
cotton swab, then applies the solution with an applicator 
against the surface for ten seconds. 

Bascoul practices in Algiers, where it is not always possible 
to obtain fresh antidiphtheria serum. In the lack of it, he uses 
bromine, and states that seven years of experience with it have 
demonstrated its great efficiency. He administers from 5 to 10 
drops of bromine in 200 grams of sweetened water, with 3 
grams of potassium iodide. He uses for a gargle the same 
with from 20 to 30 drops of the bromine. He applies this 
treatment to all kinds of sore throats, including those of the 
eruptive fevers, and has found it both certain and effectual. 

If antitoxin cannot be obtained early, Dr. Leonard Wil- 
liams recommends that isolation be carried out in the usual way 
and a mixture containing the biniodide of mercury be given. 
The preparation is insoluble in water alone, but is freely solu- 
ble in an excess of potassium iodide. The following combina- 
tion is recommended : — 

1^ Hydrargyri perchloridi, gr. j. 

Potassii iodidi, gr. xx. 

Glycerini, 3ij. 

Aquae, q. s. ad Bviij. 
Mi see. 

Sig. : One teaspoonful to a tablespoonful 
three or four times daily. 



- Hand-Book of Modern Treatment. 137 

In the foregoing mixture a double decomposition occurs, 
forming the biniodide of mercury, about 1 / 8 grain to the ounce. 
The glycerine is added in order to increase the tendency to 
adhere to the fauces and thus increase its local effects. As a 
bactericide the biniodide is said to be four times as powerful 
as the perchloride, and it does not have the tendency to throw 
down an inert albuminate when coming in contact with the 
tissues. 

The author is emphatic in his statement that this prepara- 
tion of mercury, excepting, of course, antitoxin, is a more ef- 
fective foe of the Klebs-Loeffler bacillus than any other drug or 
inhalation or local application which has ever been used. In 
all forms of sore throat the heart should be frequently examined 
as in rheumatism and chorea. 

IJ Seri antidiphtherici. 

Sig. : Inject 1500 to 2000 units into subcu- 
taneous tissues of the back and repeat in 
twelve hours. Dose should be repeated every 
six to twelve hours in severe cases. As a 
prophylactic should employ 500 units of the 
serum. 

B Hydrarg. chlor. corros., gr. }4 8 . 

Tinct. ferri chlor., m x. 

Glycerini, mx. 

Tinct. bellad., m ij. 

Aquae destill., f3j. 
Mi see. 
Sig. : Take every hour or two, well diluted. 

P* Tinct. ferri chloridi, f£ss. 
Sig. : Two to ten drops every two or three 
hours. 

$ Phenolis, fgj. 

Olei eucalypti, f§j. 
Olei terebinthinse, f§iij. 
Misce. 

Sig.: Use as directed. Place two table- 
spoonfuls of this in a quart of water, and this 
is placed in an open vessel and allowed to boil 
constantly. 



138 Hand-Book of Modem Treatment. 

IJ Potassii permanganatis, gr. xx. 
Aquae, Oj. 

Misce. 

Sig. : Swab throat two or three times daily. 



DROPSY. 

I£ Pulveris digitalis, gr. xlviij. 

Camphorse, gr. xlviij. 

Flor. benzoes, 3ij. 
Misce et fiant chartulae no. xxiv. 
Sig.: Three to four such powders each day. 

I£ Tinct. digitalis, 3ij. 

Sol. nitroglycerini (1 per cent.), 3j. 
Tinct. strophanthi, 3j. 

Misce. 

Sig.: Fifteen drops four times daily. 

1$ Diuretini, 3iij- 

Sig. : Thirty grains four times daily. 

IJ Tinct. digitalis, f3ss. 

Liq. amnion, acetat., f^ss. 

Spt. seth. nitrosi, f3ij. 

Syrupi tolutani, f^ss. 

Aquae carni, q. s. ad fSiij. 
Misce. 

Sig.: Teaspoonful every two hours for a 
child 6 or 8 years old. 

B Tinct. digitalis, f3ss. 

Elixiris simp., gss. 

Liq. potassii citratis, q. s. ad Siij. 
Misce. 

Sig. : One teaspoonful every two hours to a 
child 6 or 8 years old. 

I£ Pulv. digitalis foliorum, gr. xx. 

Hydrarg. chloridi mitis, gr. xx. 

Pulveris scillse, gr. xx. 
Misce et fiant chartulse no. xx. 
Sig. : One powder after each meal. 
Indication: Cardiac -dropsy. 



Hand-BooJc of Modern Treatment. 139 



1^ Liq. potassii arsenitis, 3iv. 
Sig. : Two or three drops three times daily 
after meals. 

Indication: Useful in dropsy of old people. 



DYSENTERY. 

J. D. Hunter, who has resided in Pern for nearly forty 
years, where severe types of dysentery are endemic, nsnally gives 
ipecacuanha in a 45-grain dose as soon as the patient is seen, 
preceded, a half-hour before administering, by 15 to 30 min- 
ims of laudanum or a hypodermic of 1 / 6 grain of morphine and 
a sinapism to the pit of the stomach. In spite of the lauda- 
num and sinapism the patient is likely to experience severe 
nausea and vomiting. Peruvian practitioners usually give an 
infusion of the contused ipecac-root and sometimes enemata of 
this infusion. The clear decanted liquid, as used in these infu- 
sions, is rather less disgusting to most patients than the pow- 
dered ipecac. A second dose of the medicine is given within 
twenty-four hours, usually the next morning. 

When ipecac fails, or for any reason cannot be used, many 
Peruvian doctors use an emulsion of castor- and almond- oils in 
small, repeated doses, or other fats. Sulphur, grains xx, and 
Dover's powder, grains x, every four hours, is also good ; or the 
sulphates of magnesium or sodium may be profitably tried. 
Ees. podophylli, grain V 8 , and powdered ipecac, grain 1 / 6 , every 
hour until the stools become bilious was also found to be effective 
in some cases. Turpentine, much lauded in chronic dysentery, 
the author also likes in acute cases, and recommends the fol- 
lowing : — 

R 01. terebinth., 3ij. 
Tinct. opii, 3j. 
Syr. acacise, giss. 
Mucil. acacise, Sviiss. 
Mi see. 

Sig. : Tablespoonful every two or three 
hours, reducing the dose after twenty-four 
hours if there is improvement. 
Indication: Acute dysentery. 



140 Hand-Booh of Modern Treatment. 

Lactic acid is beneficial if there are greenish, slimy stools, 
especially in children. Fiiteen-grain doses are given, largely 
diluted, with syrup of acacia every two hours. Iodoform with 
small doses of opium acts well in some cases with severe abdom- 
inal pain. 



I£ Acidi sulph. arom., f§ss. 

Tinct. opii deodorat., f§ss. 

Magnesii sulphatis (sat. sol.), §ij. 
Misce. 

Sig. : Shake and give teaspoonful in water 
every three hours. 

This treatment should be commenced as early in the case 
as possible and continued until the bloody and mucous stools 
have changed to liquid or ordinary faecal discharges, which 
will usually be the case in from twenty-four to forty-eight hours. 

Dr. Gr. E. Kichmond reports two cases of dysentery in which 
the administration of 20 grains of sublimed sulphur com- 
bined with 5 grains of Dover's powder, every four hours, 
brought about rapid recovery. The discharge of blood and 
mucus quickly stopped, and the movements became faecal. 
The sulphur seems to act as a strong antiseptic and brings 
about a speedy healing of any ulcerated surfaces in the intes- 
tine. So far that author has not had a single failure in the 
treatment of dysentery by this method. 

IJ Cupri sulphatis, gr. ss. 

Magnesii sulphatis, gj. 

Acidi sulphurici dil., 3j. 

Aquae, £iv. 
Misce. 
Sig. : A tablespoonful every four hours. 



NO. 1. 



1$ Chloralis hydratis, gr. xx-xxx. 
Liq. opii sed., m xx. 
Aquae, ad 3j. 
Syrupi aurantii, 3ij, 



Hand-Book of Modern Treatment. 141 

NO. 2. 
B Pulv. ipecacuanhas, gr. xx-xxx. 
Aquae chloroformi, §j. 
Mucilag. tragacanthi, q. s. 
Sig. : No. 1 draught is given, and usually 
takes effect in from ten to fifteen minutes. 
When the patient is just asleep he is suffi- 
ciently aroused to take No. 2. It must be 
shaken up in a phial and poured out just be- 
fore being taken. 

In many cases the patient will, after this treatment, sleep 
from three to six hours, and wake without experiencing any in- 
convenience. In some cases the ipecacuanha does produce sick- 
ness in spite of the chloral draught, but in these the author has 
not known it to come on in less than one and one-half hours, and 
in no case did the vomit contain ipecacuanha, showing that it 
had already been absorbed. 

IJ Quininae sulphatis, gr. ij. 

Pulveris ipecacuanhas, gr. v. 

Ammon. chloridi, gr. x. 

Tinct. opii, m xi j. 

Aquae, q. s. ad 3j. 
Mi see. 
Sig. : To be given every four hours. 

The following treatment for dysentery has proved of 
greatest value when a good deal of trouble through griping 
pains and frequent stools with mucus and blood were present : — 

B Terebinthinae, m x. 
Tinct. opii, mx. 
Pulveris acaciae, 3j. 
Saccharini, 3j. 
Aquae menthae pip., 3j. 
Misce. 

Sig. : To be taken three times daily for 
three days only, after cleansing the intestines 
with a dose of castor oil. At the expiration of 
this time: — 

I£ Pulveris ipecacuanhas, gr. x. 
Sig.: To be taken thrice daily, half an hour 
after the following draught: — 



142 Hand-Book of Modern Treatment. 



IJ Tinct. opii, m x. 

Tinct. cardamomii comp., 3ss. 
Aquae, §j- 
Misce. 

Sig. : Apply a sinapism over the pit of the 
stomach in order to prevent vomiting, which 
often attends the administration of ipecacu- 
anha in large doses. 

IJ Bismuthi salicylatis, gr. ij. 
Guaiacolis benzoatis, gr. ij. 
Misce et pone in capsulas no. j. 
Sig. : One capsule every four hours. 



DYSMENORRHEA. 

Prescribe a pill, to be taken three times a day, after a 
meal, containing: — 

IJ Phosphor., gr. 1 / B0 . 

Ferri valerianate gr. j. 
Zinci valerianate, gr. j. 
Quininae sulphatis, gr. j. 
Extracti aloes, gr. j. 

Then prescribe the following mixture : — 

IJ Tinct. cannabis Indicas, m x. 

Syr. chloralis hydratis, m xx. 

Glycerini, 3j. 

Aquae camphorae, ad 3j. 
Sig. : For one dose. 

In spasmodic and neuralgic dysmenorrhoea the following 
prescription will prove beneficial if administered several days 
prior to and during the menstrual epoch : — 

IJ Fluidextracti hyoscyami, 3ij. 

Fluidextracti cannabis Indicae, 3j. 
Fluidextracti cimicifugae, 3iv. 
Spiritus camphorae, 3j. 
Spiritus etheris compositae, q. s. ad §iij. 

Misce. 

Sig.: Teaspoonful in water three times a 
day. 



Hand-Book of Modern Treatment. 143 

B Ammonii chloridi, Siiss. 

Tinct. stramonii, §ss. 

Tinct. cimicifugse, Sj. 

Syr. glycyrrhizse, 3ij. 

Tongaline, §vj. 
Misce. 

Sig. : Teaspoonful three times a day. 
Indication: Rheumatic dysmenorrhea. 

I£ Ext. cannabis Indicae, gr. %. 
Ext. belladonna?, gr. 14. 
01. theobrom., q. s. 
Misce. 

Sig.: This is sufficient for one suppository; 
five such ones may be made. One suppository 
may be introduced every evening, commencing 
the fifth day before the menses. 

Dysmenorrhea, frequently noticed in women with a ten- 
dency to asthma or subject to chronic diseases, is often cured 
or benefited by arsenic. 

I£ Asafoetidae, gr. ij. 
Ext. valerianis, gr. j. 
Ext. cannabis Indicse, gr. y±. 
Misce for one pill. 
Sig. : One three times a day. 

Locally for the pain in the back the following ointment is 
of value: — 

IJ Ext. hyoscyami, gr. xxx. 

Ext. belladonnae, gr. xxx. 

Adipis, gj. 
Misce et fiat unguentum. 
Sig.: A small amount to be applied locally 
night and morning. 

The following combination is recommended in painful men- 
struation in which there is more or less inflammation present : — 

IJ Berberinse phos., gr. xij. 

Tinct. hydrastis, 3ij. 

Syr. simp., q. s. ad §ij. 
Misce. 

Sig. : One teaspoonful every three or four 
hours. 



144 Hand-Book of. Modern Treatment. 

Ifc Apiol, 3ij. 

Acetanilidi, gr. xl. 

Spt. ehloroformi, m xxx. 

Spt. recti, q. s. ad §ij. 
Misce. 

Sig. : Teaspoonful in water every two or 
three hours. 

Indication: Neuralgic dysmenorrhcea. 

IJ Liq. potassii arsenitis. 

Sig. : One drop after meals increased to 
from three to five drops three times daily. 

Indication: In anaemic patients this is use- 
ful between attacks. 



IJ Extracti belladonnas gr. y 2 - 

Olei theobromatis, q. s. 
Misce et fiat suppositorium no. j. 
Sig. : Insert in or against the os when pain 
is severe and persistent. 

I£ Amyl nitritis. 

Sig. : Three to five drops upon handkerchief 
by inhalation to relieve severe pains. 



DYSPEPSIA.— See Indigestion. 

I£ Acidi arsenosi, gr. %. 

Pulv. ignatise, gr. viiss. 

Pulv. .rhei, gr. xxxvj. 

Pulv. opii, gr. viiss. 

Ext. gentianse, q. s. 
Misce et fiant capsular no. 1. 
Sig. : One capsule after each meal. 
Indication: Dyspepsia accompanied by phos- 
phaturia. 

I£ Aquae ehloroformi, §ij. 

Aquae menthae pip., Sij- 

Aquae dest., Sij- 
Misce. 
Sig. : One teaspoonful before meals. 



Hand-Book of Modern Treatment. 145 



B> Sodii bicarbonatis, 3ij. 

Pulveris saccharini, 3ij. 

Spt. amnion, aromatici, m xl. 

Aquae menthae pip., q. s. ad ^viijc 
Misce. 

Sig. : Tablespoonful after each meal. 
Indication: Each of above useful in flatu- 
lent dyspepsia. 

I£ Tinct. ipecacuanbae, 3j. 
Tinct. calumbae, 3iij. 
Tinct. gentianee, 3iij. 
Misce. 

Sig. : Take five to 10 drops in a little water 
after eating, and repeat the dose in a half -hour, 
sad again in an hour. 

Indication: Feeble digestion. 

H Fepsini, gr. xlviij. 

Acidi hydrochlor. diluti, 3iv. 

Glycerini, 3iv. 

Aquse, q. s. ad §iij. 
Misce. 

Sig. : One teaspoonful well diluted three 
times daily. 

1^ Bismuthi subnitratis, 3iv. 

Pepsini, xlviij. 
Misce et fiant chartulae no. xxv. 
Sig. : One powder three times daily. 

I£ Tinct. nucis vomicae, 3ij. 

Acidi nitromuriat. diluti, 3iv. 

Glycerini, 3v. 
Tinct. gentianae comp., q. s. ad %iv. 
Misce. 
Sig. : One teaspoonful after meals. 

B Sodii salicylatis, 3ij. 

Bismuthi subsalicylatis, 3v. 
Magnesii carbonatis, 3v. 
Sodii bicarbonatis, 3v. 
Misce et fiant chartulae no. xij. 
Sig. : One powder three times daily after 
meals. 

10 



146 Eand-Book of Modern Treatment. 

R Acidi hydrochloric! dil., f3iv. 

Fhridextracti condurango, f3vj. 

Tinct. gentianae comp., q. s. ad f^iij. 
Misce. 

Sig. : Teaspoonful in water after meals. 
Indication: Painful gastric dyspepsia with 
deficient secretion of gastric juice. 



R Acidi hydrochlorici diluti, 3vj. 
Tincturae capsici, 3iv. 
Tincturae nucis vomicae, 3ij. 
Tincturae quassiae, q. s. ad %iv. 
Misce. 

Sig. : One teaspoonful in water after meals. 
For atonic dyspepsia of alcohol drinkers. 



R Zinci valerianatis, gr. iij. 

Acidi carbol., gr. ij. 

Acidi arsenosi, gr. 1 / i0 . 

Ext. cannabis Indicae, gr. x / 4 . 
Misce et fiat capsula no. j. 
Sig. : One capsule after each meal. 
Indication : Nervous dyspepsia. 



IJ Bismuthi subsalicylatis, 3ij. 

Magnesii carb., 3ij. 

Carbonis pulv., 3iij. 

01. menthae pip., gtt. xxx. 
Misce. 

Sig.: Of this powder give a small teaspoon- 
ful one-half to one hour after meals. 
Indication: Flatulent dyspepsia. 



R Acidi hydrocyanici dil., gtt. xl. 
Tinct. belladonnas, 3iij. 
Bismuthi subnitratis, 3vj. 
Aquae destil., q. s. ad Biij- 
Misce. 

Sig.: Shake well and take one teaspoonful 
an hour before meals. 

Indication: Painful dyspepsia with excess- 
ive gastric secretion. 



Hand-Boole of Modem Treatment. 147 



IJ Bismuthi subnitratis, gr. x. 

Magnesii carbonatis, gr. xv. 

Liq. potassii hydroxidi, m vj. 

Acidi hydrocyanici dil., m ij. 

Tinct. zingiberis, m v. 

Aquae menthse pip., q. s. ad Sj- 
Misce. 

Sig. : At one dose, to be repeated two or 
three times a day. 

Indication: Acid dyspepsia. Splendid. 



IJ Pepsini pur., gr. xxx. 

Pancreatic ext., gr. xxx. 

Pulv. carb. lig., gr. lx. 

Bismuthi subgal., gr. lx. 
Misce et fiant chartulse no. xij. 
Sig.: One before meals. 
Indication: Intestinal dyspepsia. 



IJ Creosoti, m iij. 

Tinct. card, co., m xv. 

Syr. aurantii, 3ss. 

Aqua?, q. s. ad 3j. 
Misce. 

Sig.: To be taken at one dose and repeated 
three times daily. 



IJ Bismuthi subnitratis, 3iss. 

Pepsini, 3iss. 

Strychnin* sulphatis, gr. j. 

Orexini tannati, 3j. 

Tinct. cardamomi comp., q. s. ad §iv. 
Misce. 

Sig. : A teaspoonful three times daily. 
Indication: Useful in atonic dyspepsia. 



DYSPNCEA. 

In the treatment of chronic dyspnoea due to vascular 
changes, Foxwell recommends the following combinations : — 



148 Hand-BooJc of Modern Treatment. 

IJ Liq. strychninse ( 1 per cent. ) , m v. 

Tinet. strophanthi, m x. 

Liq. trinitrini (1 per cent.), m ij. 

Sodii bromidi, gr. xv. 

Tinct. card. co., 3ss. 

Aquae, q. s. ad 3j. 
Misce. 

Sig. : To be taken in two or three divided 
doses, alternating with the following: — 

IJ Pulv. rhei, gr. i-ij. 

Hydrargyri chloridi mitis, gr. Vao-Vio* 

Ext. hyoscyami, gr. i-ij. 
Misce et fiat capsula no. j. 
Sig.: One such capsule once or twice daily. 

IJ Chloralis hydratis, gr. xvi-xxxij. 

Potassi iodidi, gr. viii-xvj. 

Julapii, f^ij. 
Misce. 

Sig. : A teaspoonful every hour. 
Indication: A mixture for cardiac dyspnoea. 

IJ Chloralis, 3v. 

Sodii nitratis, gr. xlv. 

Tinct. stramonii, giiss. 

Elixiris simp., q. s. ad §iv. 
Misce. 

Sig.: One teaspoonful every four hours in 
water. 

Indication: Asthmatic dyspnoea. 

IJ Spiritus glycerylis nitratis, gr. 1 / 100 . 

Amyli nitritis, gr. 1 / i . 

Mentholis, gr. l / 50 . 

Oleoresini capsici, gr. 1 / 100 . 
Misce et pone in capsula no. j. 
Sig. : One capsule every four hours. 

IJ Morphinse sulphatis, gr. ij. 

Tinct. strophanthi, gtt. xcvj. 

Spiritus frumenti, ^rj- 
Misce. 

Sig. : One teaspoonful night and morning. 
Indication: Cardiac dyspnoea. 



Hand-Book of Modern Treatment. 149 



1$ Fluidextracti digitalis, 3ij. 

Tinct. opii, 3ij. 
Misce. 

Sig. : Two to four drops every three hours. 
Indication: Cardiac dyspnoea. 

B Sparteine sulphatis, gr. iss. 

Fluidextracti digitalis, gr. xv. 

Aquae, q. s. ad §ij. 
Misce. 
Sig.: A teaspoonful every two hours. 



EARACHE. 

TREATMENT OF EARACHE. 

It should be remembered that pain in the ear may be a sim- 
ple otalgia, but is also frequently secondary to dental caries, and 
especially to inflammations of the external ear, as a furuncle, 
and sometimes as the result of deeper inflammations of the ear. 
To relieve the pain four to six leeches applied in front of the 
tragus will usually have the desired effect. Besides this the ear 
may be washed out with a warm boric solution, which should be 
repeated every two hours for ten minutes at each application. 
In the intervals cotton saturated with carbolized oil (1 to 20 or 
1 to 40) may be left in the ear. During the night the oil may be 
left in or, if the pain is very severe, may be replaced by the 
following : — 

I£ Morphinse hydrochlor., gr. j. 

Cocaines hydrochlor., gr. xv. 

Aquse, 3v. 
Misce. 

Sig. : Six drops in the ear on retiring, to 
be used warm. 

FOR THE REMOVAL OF WAX IN THE EAR. 

Hardened wax in the external ear can often be removed 
readily by injections of warm water and soap, soda, or ammonia. 
Many cases resist this and require the softening effects of 
glycerine or sweet oil for a day or two before syringing. Do 
not bother with these long processes, but use a half-strength 



150 Hand-Book of Modern Treatment. 

solution of hydrogen dioxide in the ear for about five or ten min- 
utes. This will disintegrate the hardest plugs and they can be 
removed with very little syringing. Too much force with the 
syringe is not to be used. The ear should be wiped perfectly 
dry with absorbent cotton and apply petrolatum. A small plug 
of cotton should be worn in the ear for one day after removal. 



IJ Acidi carbolici, m xl. 
Alcoholis, m xlv. 
Glycerini, ad 3j- 
Misce. 

Sig: One-half a dropperful warmed, to be 
instilled into the ear, for adults; less for a 
child. 

Indication : Useful in earache. 



I£ Acidi carbolici, m vij. 

Ext. opii fi., m vj. 

Cocaime hydrochlor., gr. vj. 

Atropinoe sulph., gr. iij. 

Aquae, m iij. 

Gelatini, gr. xviij. 

Glycerini, 3iij. 
Misce et div. in bougies no. xlvij. 
Sig.: Insert one bougie in the auditory 
canal every two hours. 

Indication: Earache in children and to be 
used before tympanic exudation occurs. 

I£ Chloralis (camphorated), 3j. 
Glycerini, §j. 
Olei amygdalae dulcis, 3iiss. 

Misce. 

Sig. : Saturate a piece of cotton and intro- 
duce well into the ear. 



A SURE CURE FOR EARACHE. 

A small funnel of stiff paper is inserted into the ear, with 
a pledget of cotton saturated with chloroform into the outer, 
larger part. By this means the fumes of chloroform are blown 
into the ear, and instant relief is obtained. 



Hand-Book of Modern Treatment. \§\ 

I£ Zinci oxidi, 3j. 
Acidi carbol., gr. x. 
Vaselini albi, %]. 
Misce et fiat unguentum. 

Sig. : Insert a cylindrical tampon of cotton 
wool, covered with the ointment, into the canal. 
Indication: Useful for excruciating pains 
and furuncles in the ear. 

This tampon should be large enough to produce consider- 
able pressure. The greater the swelling the greater should be 
the pressure made by the tampon. The pain is at first severe, 
but disappears after tamponing. Before tamponing, use an 
antiseptic and repeat daily. 

Atropine in solution is an excellent remedy for earache. A 
drop or two of a solution of 4 grains to the ounce of water will 
be sufficient. 

Earache to be treated intelligently must be treated through 
the speculum. In the mild, congestive forms local applications 
may and often do prove beneficial, but if persisting more than 
twelve hours, paracentesis should be done. Early paracentesis, 
properly performed, is a harmless procedure, doing the greatest 
good to the patient with the minimum of danger and suffering. 
It anticipates nature, relieves pain, and reduces the chances of 
mastoid and intracranial complications. Preparatory to opera- 
tion, the doctor renders the external canal aseptic through 
syringing with a 1 to 10,000 bichloride solution, then drying 
with a few drops of alcohol. The procedure may be rendered 
painless by first applying over the line of incision a mixture of 
equal parts of menthol, phenol, and cocaine rendered syrupy 
with alcohol. 

I£ Phenolis, 3j. 
Glycerini, 3ij. 
Camphorge, gr. xx. 
Aqua, q. s. ad f^j. 
Misce. 

Sig.: Use this on pledget of cotton which 
fits tightly and place in ear. Leave in ear six 
to twelve hours. Remove and apply again. 
Follow this with purges. 

Indication: Furuncle in canal of ear. To 
abort. 



^52 Hand-Booh of Modern Treatment. 

I£ Sol. adrenalini, f3j. 

Cocainge, gr. x. 

Glycerini, f3j. 

Aquae, q. s. ad f^j. 
Misce. 

Sig. : Apply to ear warm, in drops. 
Indication: Useful in acute catarrhal otitis 
media. 



ECTHYMA. 

1$ Sulphuris prsecipitati, 3j. 

Resorcini, gr. x. 

Acetanilidi, 3ss. 

Ung. petrolati, £j. 
Misce. 

Sig.: Apply once daily. 
Indication: Useful in parasitic varieties. 

IJ Liq. plumbi subacetatis, 3j- 

Tinct. opii, 3j- 

Aquae, §xvj. 
Misce. 

Sig. : Apply this on gauze or lint. 
Indication: Useful in inflammatory stage. 

I£ Aristol, 3ij. 
Acidi borici, 3ij. 
Acetanilidi, gr. x. 

Misce. 

Sig. : Use this as a dusting powder. 



ECZEMA. 

In an acute form of eczema, when redness and swelling of 
the skin are associated with burning and itching sensation, usu- 
ally a simple application of an absorbent powder, as talcum, 
rice, amylum with some oxide of zinc, or 1 per cent, of boric 
or salicylic acid often repeated, will answer the purpose. If 
there should be also some oozing, the powder will form a kind 
of paste and protect the excoriated epidermis, prevent the break- 
ing of the vesicles, and the acute inflammatory process will grad- 
ually subside. In cases of eczema intertrigo, the natural folds of 



Band-Book of Modern Treatment. 153 

the skin must be separated with strips of lint or absorbent 
cotton. 

In some cases the simple application of powder does not re- 
lieve the inflammation, and bathing with solution of 2 per cent, 
of subacetate of lead or of aluminum is found useful to diminish 
the inflammation. But as soon as the purpose has been ob- 
tained it has to be stopped and dry applications resumed. In a 
general way moist applications macerate the epidermis, and for 
this reason are not so beneficial in eczema. 

In these cases, as a sedative lotion, a mixture of calamine 
in the following proportions will be found useful: — 

I£ Pulv. calamine prep., 3ij. 
Zinei oxidi, 3ij. 
Glycerini, Siss. 
Aquae rosae, §iss. 
Misce. 

Sig. : This is applied on the surface with a 
camel's hair brush, or with strips of lint dipped 
in the lotion. 

In cases of acute eczema with deep excoriations, accom- 
panied by abundant serous discharge and unbearable itching sen- 
sation, the use of ichthyol in liniment form will be found bene- 
ficial in many cases. 

B Ichthyolis, 3ij. 

Olei amygd. dulc, 3iv. 
Aquas calcis, 3iv. 
Aquae rosae, §j. 
Glycerini, gj. 
Misce. 

Sig. : This is applied on strips of lint satu- 
rated in the liniment, and the dressing is 
changed twice a day. 

Ichthyol comities the young epidermic cells of the cor- 
pus mucosum and forms a temporary protection to the 
papillary layer. It diminishes the exudation , and relieves 
the itching sensation. The surface is washed with a mild 
solution of 1 per cent, of carbolic acid or of borate of 
sodium before the liniment is applied again. Cleanliness 



154 Band-Book of Modern Treatment. 

is necessary for eczema, and this thought has been greatly re- 
proached by some kind of superstition spread by general prac- 
titioners among the people, that eczematous surfaces have not to 
be washed. On the contrary, eczema has to be cleansed as stated, 
and if the water should be an irritant, olive-oil could be re- 
sorted to. 

When the excoriations begin to heal up and the irritation 
has ceased, it is necessary to apply some mixture, which may 
protect the young epidermic cells, giving them time to be re- 
produced; may prevent the exuded serum from forming crusts, 
and, at the same time, may possess certain antiparasitic proper- 
ties. For this purpose pastes are applied as continuation of the 
treatment. Lassar's paste is very useful and a good composi- 
tion : — 

fy Acidi salicyl., gr. x. 

Zinci oxidi, 3ij. 

Amyli, 3ij. 

Vaselini, 5j. 
Mi see. 

Sig. : To this mixture we often add 3j of 
sulphur, which has good antiparasitic action. 

It is spread on the affected parts, and is easily removed, 
wiping it off with a little olive-oil. 

In cases of pustular eczema of the scalp or of the beard, 
a salve with white precipitate has given us good results. 

When the inflammation has subsided, the excoriations and 
the fissures have healed up, the infiltration has diminished, then 
the application of tar becomes useful: — 

IJ Ung. picis liquidi, 3iij. 

Zinci oxidi, 3iss. 

Ung. aquae rosae, 3iv. 
Misce. 

In a great many cases the old Wilson salve will be found 
greatly beneficial. Sometimes it seems that every application 
increases the trouble, and a few applications of this innocent 
salve have giyen satisfactory results. 

When the eczema has healed up, but the skin remains ten- 
der, itchy, easily cracks, the application of a solution of carbolic 
acid is very beneficial. 



Hand-Book of Modern Treatment. 155 

Ifc Acidi carbolici, 3j. 
Glycerini, 3j. 
Aquae rosae, §iij. 
Alcoholis, ^iij- 
Misce. 

Sig. : With a moist cotton tampon the skin 
is gently rubbed, then dried and dusted with 
rice or amylum powder. 

It is necessary that the local treatment of eczema be asso- 
ciated with a hygienic and internal treatment. For this purpose 
the physician must study the condition of the general system 
of his patient and also his habits of living. In so doing he will 
detect troubles of the digestive organs, of the excretory func- 
tions, or of the general nutrition, or of defective metabolism, or 
of dietetic errors, which often are the true causes maintaining 
the eczema. 

In chronic forms of eczema, when the skin is thickly 
infiltrated, hard, inelastic, covered with hard epidermic 
scales, which conceal deep rhagades, the treatment must be 
rather of an irritant nature, so as to produce the reabsorp- 
tion of the exuded elements. The soap of potash, green soap, 
will be found a good application to dissolve and remove the 
epidermic masses, and as an irritant to produce the reabsorp- 
tion. It is rubbed on the surface, left for ten minutes or 
more, and then is washed off. As a permanent application the 
old Hebra diachylon in some cases, mixed with ichthyol, 1 
drachm to 1 ounce, has given gratifying results. 

In cases of this kind, if the green soap does not produce the 
desired effect, we can resort to a strong solution of caustic pot- 
ash soda to remove the thickened epidermis. The rhagades 
must be touched up with a solution of nitrate of silver from 
3 to 6 per cent, to obtain their healing. 

The following combinations containing mercury sulphate 
are recommended in the treatment of vesicular eruptions : — 

I£ Hydrarg. subsulph., 3ss. 

Olei amygdalae dulcis, 3iiss. 

Adipis, §ij. 
Misce et fiat unguentum. 
Sig. : To be applied locally. 



156 Band-Book of Modern Treatment. 

ty Hydrarg. subsulph. (turpeth mineral), 
gr. xv. 

Glycerini, 3j. 

Olei amygdalae dulcis, 3j. 

Adipis, §iss. 
Misce et fiat unguentum. 
Sig.: Apply locally. 

In gouty and rheumatic patients we recommend the follow- 
ing combinations : — 

I£ Quin. hydrobrom., gr. j. 

Ext. colchici, gr. 1 / 6 . 

Pulv. digitalis fol., gr. Vs- 
Misce. 
Sig.: Two or three such pills daily. 

B Quin. hydrobrom., gr. j. 

Ext. belladonnas, gr. Veo- 

Ext. gentianse, gr. j. 
Misce. 
Sig. : One such pill four to eight times daily. 

B Sulphuris, 3iiss. 
Spts. vini rect., £j. 
Glycerini, 3j. 
Misce. 

Sig.: Shake well and paint on the affected 
areas. 

I£ Sulphuris prsecip., 3iiss. 

Saponis viridis, 3ss. 

Olei cadini, 3j. 

Ung. zinci oxidi, §j. 
Misce et fiat unguentum. 
Sig. : Apply locally. 

IJ Chrysarobini, 3iv. 

Acidi salicylici, 3iv. 

Sulph. praecip., 3v. 

Saponis viridis, 3v. 

Olei cadini, 3v. 

Lanolini, 3iiss. 
Misce et fiat unguentum. 
Sig. : Apply locally. 
Indication: Useful in chronic eczema. 



Hand-Book of Modern Treatment. 157 

B Ichthyolis, 3j. 

Acidi salicylici, gr. v. 

Acidi borici, gr. xx. 

Paraffini, gr. xx. 

Petrolati, §j. 
Misce. 
Sig. : Apply at bed time. 

I£ Ichthyoli, gr. xv. 

Zinci oxidi, gr. xlv. 

Acidi borici, gr. xxx. 

Petrolati, §j. 
Misce. 
Sig.: Apply twice daily. 

T$ Hydrarg. chloridi mitis, gr. j. 

Salol, gr. xx. 

Guaiacolis carb., gr. xv. 

Pulv. pepsini, gr. xxx. 
Misce et fiant chartulse no. xij. 
Sig. : One powder to be taken three times a 
day. 

A restricted diet is recommended; greasy foods and 
sweets, as w T ell as fruits and pastry in any form, should be for- 
bidden. The following ointment is applied locally: — 

I£ Ung. picis liq., 3j. 
Ung. aquae rosse, §j. 
Ung. zinci oxidi, 3.ij. 

Misce. 

Sig. : To be used locally night and morning. 
Washing with plain water is forbidden, but 
twice a week water to which sufficient bran 
has been added to make it milky should be 
used, and the face kept clean with a cloth satu- 
rated with olive oil. 

Indication: Eczema due to intestinal auto- 
intoxication. 

IJ Cocainae hydrochlor., gr. iij. 

Atropines sulphatis, gr. j. 

Morphinss sulphatis, gr. ij. 

Ung. acidi carbol., §j- 
Misce. 
Sig. : Apply locally once or twice a day. 



158 Hand-Book of Modern Treatment. 

IJ Tinct. nucis vomicae, gss. 

Aeidi hydrochlor. diluti, £ss. 

Tinct. cardamomi eomp., 5j« 

Fluidextracti curcasae, q. s. ad §iij. 
Misce. 

Sig. : One teaspoonful after meals. 
Indication: Useful stomach tonic and for 
constipation in eczema. 

I£ Bismuthi subnitratis, 3iv. 

Zinci oxidi, 3j. 

Acidi carbol. liq., m xxx. 

Vaselini albi, §ij. 
Misce. 
Sig. : Apply locally night and morning. 

In the average case of eczema in babies, where moderate 
stimulation is required, the following formula, recommended by 
Starr, seems to act well : — 

3 Zinci oxidi, §ij. 
Ung. picis liq., §ss. 
Ung. aquae rosae, §ss. 
Lanolini, gj. 
Misce. 

I£ Acidi phos. dil., 3iv. 

Tinct. ferri perchlor., 3ij. 
Syr. limonis, giij. 
Misce. 

Sig. : Teaspoonful in wineglassful of water 
after meals. 

Aloin comp. pills, 1 / 10 grain, night and morning, to relieve 
the constipation. 

I£ Acid, carbol. pur., gr. xx. 
Ung. zinc. ox. benz., §j. 

Misce. 

Sig. : Apply. Begin the local treatment by 
cleaning the ears with this ointment spread 
upon cotton on the applicator, then make a free 
application of the same ointment. No fluids, 
soap, or water must be used, as they nearly al- 
ways prove deleterious. 

Indication: Eczema of auditory canal. 



Hand-Book of Modern Treatment. 159 

Leeds gives the following formula, which has given good 
results in the treatment of this condition: — 

I£ Pulv. sulphuris, 3iv. 
Cupri sulphatis, 3ij. 
Hydrargyri oxidi rubri, 3j. 
Vaselini albi, §iv. 
Misce. 

Sig. : Apply every night, allowing it to re- 
main ten minutes, then remove with warm, 
soft water and castile soap. 

I£ Acidi salicylici, gr. x. 

Pulveris amyli, 3ij. 

Petrolati, 3iv. 
Misce. 

Sig. : Use as paste on the diseased parts and 
cover with a cloth and light bandage. 
Indication: Useful in red eczema. 

I£ Liq. potassii arsenitis, fgss. 
Sig. : Three drops in water after meals. 
Indication: Useful in dry subacute and 
chronic eczema. 

Ifc Syrupi ferri iodidi, gss. 

Sig.: Five drops in water after meals. 

Indication: Useful in strumous children. 

IJ Pulveris rhei, 3ij. 

Sodii bicarbonatis, 3ij. 

Aquae menthse pip., §iv. 
Misce. 

Sig. : Teaspoonful in water after meals. 
Indication: Infantile eczema. 

B Aquse hydrogenii dioxidi, Bviij. 
Sig. : Apply freely twice or thrice daily. If 
area is extensive, dilute one-half with water. 
Indication: Acute and subacute stages. 

IJ Ung. zinci oxidi, §ij. 

Sig. : Apply well night and morning. 

Indication: Used in weeping eczema. Eas- 
ily digested food, exercise, and cleanliness are 
requisite in all forms and stages. The zinc 
ointment made with lanolin is preferable. 



IgO Hand-Book of Modern Treatment. 

EMISSIONS, SEMINAL. 

]$ Potassii bromidi, §j. 

Tinct. ferri chloridi, f§j. 

Syrupi aurantii, fSiij. 
Misce. 

Sig. : One to two teaspoonfuls after each 
meal. 

Patients suffering from gonorrhoea attended by extremely 
painful nocturnal erections are sometimes relieved by baths and 
large doses of Vichy water, with inunctions of the penis for 
several minutes with : — 

I£ Salicylate of methyl, gr. xv. 

Liquid vaseline, 3iiss. 
Misce. 

The penis is enveloped in a light layer of absorbent cotton, 
kept in place by a bandage of gummed taffeta. The inunction 
soon diminishes the pain and seems to reduce the force of the 
erection. 

EMPHYSEMA.— See Chronic Bronchitis. 

1$, Fluidextracti euphorbia piluliferas, f§iij. 
Sig. : One-half teaspoonful three times 
daily. 

IJ Strychninse sulphatis, gr. j. 

Extracti euphorbias piluliferse, gr. xxx. 

Extracti physostigmatis, gr. iij. 
Misce et fiant pilulse no. xxv. 
Sig. : One pill three times daily. 

EMPYEMA. 

$ Iodi, gr. vj. 

Potassii iodidi, gr. vj. 

Aquae, f§xvj. 
Misce. 
Sig.: Use to irrigate the cavity once daily. 



Eand-Booh of Modern Treatment. 161 



I£ Elixiri ferri, quininae, et strychninae phos- 
phatis, §iv. 

Misce. 

Sig. : One teaspoonful after meals. 

Indication: Useful as a tonic. 

ENDOCARDITIS. 

W. H. Thompson has found mercuric chloride, 1 / 24 grain, 
three times a day for a week, very efficacious in the treatment of 
this condition. When chronic enlargement of the heart accom- 
panies the arterial disease, he prescribes 5 grains of sodium 
iodide three times a day for weeks or months. 

Indication: Useful in chronic stage. 

When the rheumatism has disappeared and the temperature 
has dropped to normal the patient may be placed on a combined 
tonic and alterative treatment, and for this purpose the syrup 
of ferri iodidum is recommended in moderate doses to correct 
the anaemia and changes in the valves as well as in the blood- 
vessels. Arsenic combined with iron and strychnia is a splendid 
combination during convalescence, as follows: — 

I£ Acidi arsenosi, gr. 2 / 3 . 

Strychninae sulph., gr. ss. 

Ferri sulph., 3j. 

Sodii carb., 3j. 
Misce et fiant capsular no. xxx. 
Sig. : One after each meal three times a day. 
Indication: Useful in rheumatic form. 

I£ Sodii salicylatis, 3ij. 

Fotassii iodidi, 3ss. 

Tinct. aconiti radici, gtt. x. 

Tinct. verat. viridi, gtt. x. 

Aquae, q. s. ad §ij. 
Misce. 

Sig. : A teaspoonful every two hours, with 
sugar for children. Apply ice bag over heart. 

I£ Tinct. ferri chloridi, 3iv. 

Aquae, q. s. ad Siij- 
Misce. 

Sig. : One teaspoonful every five or six 
hours. 

11 



162 Hand-Book of Modern Treatment. 

ENEMATA, NUTRIENT. 

B Liq. peptones, §ij. 

Eggs, 1 to 3. 

Sol. glucose (20 per cent.), §iij. 

Sodii chloridi, gr. xxiiss. 

Pulv. pepsini, gr. viiss. 

Tinct. opii, gtt. iij. 

Bouillon, §vj. 
Misce. 
Sig. : For one enema. 

1. Beef tea, 3 ounces; yelk of 1 raw egg; 
brandy, % ounce; liquor pancreaticus, 2 
drachms. 

2. One whole raw egg; table-salt, 15 grains; 
peptonized milk, 3 ounces; brandy, % ounce. 

3. Beef tea, 2 ounces; brandy, % ounce; 
cream, % ounce. 

4. Beef tea, 2 ounces; 1 whole raw egg. 

5. Beef juice, 1 ounce. 

6. Beef essence, 6 ounces. 

7. Whites of 2 raw eggs; peptonized milk, 2 
ounces; 2 eggs. 

In many instances a nutrient enema composed only of 
whiskey and peptonized milk will not be retained by the patient. 
A better combination, and one which will give more satisfactory 
results, is the following: — 

Ifc Beef peptonoids, 3ij. 
Yelk of egg, No. 1. 
Whiskey, £ss. 
Tinct. opii, m v-x. 
Salt, q. s. 
Peptonized milk, q. s. ad £vj. 

'Water and salts are readily absorbed from the rectum, and 
peptones also seem to be assimilated, but fatty material remains 
behind. Eectal feeding is an unsatisfactory substitute for the 
ordinary mode of taking food, and should not be adopted with- 
out absolute necessity. A useful nutrient enema consists of the 
whole substance (white and yelk) of one or two eggs, beaten up 
carefully with a little cold water till no threads of albumin are 
left. To this are added 250 cubic centimeters of warm water 



Eand-Book of Modern Treatment. 163 

and 2 grams of salt for each egg used. The water in the above 
formula may be replaced by an equal amount of milk 

I£ Normal salt solution, 3vj. 

Amnion, carb., gr. xx. 

Spt. frumenti, 3ij. 
Misce. 

Sig. : Given at one dose as stimulating 
enema. 



ENTERALGIA. 

IJ Spiritus ammoniae aromatici, 3j- 

Spiritus chloroformi, §j. 

Spiritus camphorae, 3ij. 

Tincture hyoscyami, 3iv. 

Fluidextracti cannabis Indices, 3j. 

Tincturae cardamomi comp., q. s. ad §vj. 
Misce. 

Sig. : Two tea spoonfuls in water every hour 
or two until pain is allayed. 

I£ Chloroformi, 3j. 

Morphinae sulphatis, gr. j. 
Pulveris gummi arabici, 3j. 
Aqu.se, q. s. ad §iij. 

Misce et fiat emulsum et adde 

Syrupi, 3iv. 

Aquae amygdalae amarae, 3j. 
Misce. 

Sig.: One teaspoonful every half -hour until 
relieved. 

Ifc Spiritus aetheris comp., f§ij. 
Sig.: Teaspoonful in water until pain is re- 
lieved. 



ENTERITIS.— See Diarrhoea and Dysentery. 

Ifc Acidi tannici, gr. xxiv. 

Pulveris ipecacuanhae et opii, gr. iij. 

Chocolati or saccharini, 3j. 
Misce et fiant chartulae no. xij. 
Sig.: One powder four times daily. 



164 Eand-BooJc of Modern Treatment. 

B; Bismuthi subnitratis, 3ij. 

Ext. krameriae, 3j. 

Syrupi, 3ij. 

Aquae, q. s. ad §iiss. 
Misce. 
Sig. : Teaspoonf ul four times daily. 

B; Olei ricini, §ss. 

Tinct. opii camphoratae, 3ss. 
Misce. 

Sig. : One dose. 

Indication: The initial treatment to free 
bowels of irritating material. 

R> Ammonii chloridi, 3ij. 

Fluidextracti glycyrrhizae, 3ij. 
Aquae, q. h. ad §iij. 
Misce. 

Sig. : One or two teaspoonf uls after meals. 
Indication: Useful in chronic intestinal 
catarrh. 

I£ Acidi (phenolis) carbolici, mx. 

Bismuthi subnitratis, gr. c. 
Misce et fiant chartulae no. x. 
Sig. : One powder every four hours. 
Indication: Used in acute and subacute ca- 
tarrhal enteritis. 

Bi Bismuthi subnitratis, 3j. 

Saloli, gr. xxiv. 

Syrupi tolutani, 3ij. 

Syrupi acaciae, q. s. ad Sij. 
Misce. 

Sig. : Teaspoonful every three hours after 
irritating material is evacuated. 

I£ Bismuthi subnitratis, gr. x. 
Syrupi acacias, m xx. 
Mist, cretae, q. s. ad f3j. 
Misce. 

Sig. : One such dose every two hours for 
a child one year old. 

Indication: Useful in acute catarrhal en- 
teritis. 



Hand-Book of Modern Treatment. l@5 



IJ Ext. opii, gT. Vs. 

Ext. belladonnae, gr. Vs- 

Cacao theobromatis, gr. v. 
Misce et fiat suppositorium no. j. 
Indication: To quiet pain in enterocolitis. 

IJ Tannalbin, gr. xv. 

Spt. cinnamomi, m ij. 
Misce et fiant chartulae no. x. 
Sig. : One every three hours to child 1 year 
old. 

Indication: Acute enteritis of children. 

IJ Liq. potassii arsenitis, 3ss. 

Sig. : Three or four drops in water after 
meals. 

Indication: Useful in chronic membranous 
enteritis. 



ENURESIS. 

IJ Fluidextracti rhois aromat., f3iij. 

Elixiris aromat., f^iss. 

Aquae cinnamomi, q. s. ad fSiij. 
Misce. 

Sig. : Half teaspoonful to be increased to 
one teaspoonful four times a day after meals. 

IJ Ferri citratis, gr. clx. 

Syrupi calcii lactophosphatis, §ij. 

Syrupi cascarse aromatici, §ij. 
Misce. 
Sig.: A teaspoonful after dinner (noon). 

IJ Ext. rhois glabrae fluidi, m cccxx. 

Syrupi, q. s. ad gij. 
Misce. 
Sig. : A teaspoonful at bed time. 

IJ Tinct. belladonnae, 3ij. 

Fluidextracti ergotae, 3iv. 

Tinct. nucis vomicae, 3ij. 

Aquae, q. s. ad §iij. 
Misce. 
Sig. : One teaspoonful four times daily. 



1(3(3 Hand-Book of Modern Treatment. 

I£ Fluidextracti rhois aromat., f3iiss. 

Fluidextracti ergotse, f§ss. 

Fluidextracti belladonnas, f3ss. 

Stryeh. sulph., gr. 14. 

Syr. aurantii cort., q. s. ad fgiv. 
Misce. 
Sig. : One teaspoonful four times a day. 

I£ Fluidextracti jaborandi, f3j. 

Fluidextracti belladonnas, f3ss-j. 

Fluidextracti tritici repentis, fgss. 

Fluidextracti ergotse, f3j. 

Fluidextracti rhois aromat., f3j. 

Syrupi zingiberis, f£ss. 
Misce. 
Sig. : One teaspoonful three times a day. 

We recommend massage of the neck of the bladder by way 
of the rectum for nocturnal enuresis. The index finger is used, 
and massage is practiced, at first mildly, later more energetic- 
all} 7 , for two minutes at each session. The results have been 
excellent. The writer believes that the condition is brought 
about by some defect in the coordination of the function of the 
nerve-elements of the vesical sphincter, which is permanently 
relieved by massage. 

I£ Fluidext. ergotse, f3iij. 

Fluidext. rhus toxicodendron, f3j. 
Misce. 

Sig.: Five to ten drops every four to six 
hours. 

In cases of incontinence due to hyperesthesia of the neck 
of the bladder, irritating foods should be avoided, sitz baths em- 
ployed and the following antispasmodic mixture given : — 

R. Ext. hyoscyami, 3ss. 
Sodii bromidi, 3j. 
Aquse anisi, f§j. 
Syr. simp., q. s. ad f§ij. 
Misce. 

Sig. : One teaspoonful every four to six 
hours. Counter-irritation by means of mustard 
plasters should be employed over the lumbo- 
sacral region. 



Hand-Book of Modern Treatment. 167 

We recommend that the child should sleep with the head 
lower than the pelvis, thus creating a mechanical obstacle to the 
passage of the urine, which no longer irritates the urethral 
sphincter. Stumpf has treated successfully twelve children and 
an adult by this method, which has also proved efficacious in two 
rebellious cases at the Institute for Deaf-mutes at Wurzburg. 
The duration of the treatment is about three weeks, after which 
the normal position may be resumed. 

E. H. Fenwick states for this distressing complaint, whether 
suddenly developed as the result of accident or operation, or in 
other cases where the incontinence of urine had been of several 
years' standing, he was acquainted with no drug which gave such 
entirely satisfactory results as the tincture of lycopodium. He had 
first given it to check the nocturnal enuresis of children ; but find- 
ing it so surprisingly successful, he next employed it for adults, 
with the result that micturition was quickly reduced from six 
or eight times an hour to once in two hours. Dose — 15 minims 
to 1 drachm. 



EPIDIDYMITIS AND ORCHITIS. 

1$, Ung. hydrarg., 3ij. 

Adipis lanae hydrosi, 3vj. 
Ichthyoli, 3j. 
Ext. belladonna?, gr. x. 
Vlisce. 

Sig. : Apply externally twice daily, preceded 
with rest in bed, hot fomentations and ano- 
dynes for the relief of pain. 

I£ Tinct. opii, $v. 

Liq. plumbi subacetatis, §v. 

Misce. 

Sig. : Add to warm poultice a tablespoonful 
of this and apply. Support testicles by means 
of a suspensory bandage. 

Indication: Useful during acute stage with 
pain and swelling. 

R Olei santali, 3iss. 

Fiant capsular no. xx. 

Sig. : One capsule after meals. 



168 Hand-Booh of Modern Treatment. 

B Ichthyoli, 3v. 

Ung. belladonna^ 3iv. 

Ung. hydrargyri, 3iv. 

Petrolati, q. s. ad Bij. 
Misce. 

Sig. : Apply daily to scrotum and support 
with a suspensory bandage. 

Indication: Used in subacute and chronic 



IJ Potassii iodidi, 3ij. 

Tinct. gentianse comp., 3iij. 

Aqua% q. s. ad giij. 
Misce. 

Sig. : One teaspoonful after meals. 
Indication: Used in acute and chronic cases. 

Ifc Sodii bromidi, 3iv. 

Tinct. belladonna^ m xx. 

Liq. potassii hydroxidi, f3ij. 

Tinct. opii camphoratse, 3ij. 

Syrupi zingiberis, 3ij. 

Aqu*, q. s. ad Bvj. 
Misce. 
Sig. : One teaspoonful after meals. 

EPILEPSY. 

Ifc Sodii arsenatis, gr. V 64 . 

Zinci phosphidi, gr. x / li . 

Calcii phos., gr. j. 

Sodii benzoatis, gr. iij. 

Pancreatini, gr. iij. 
Misce. 

Sig. : At one dose three times a day before 
each meal. 

The arsenic and zinc preparations are nerve-tonics, the lat- 
ter being also a nerve-sedative, the former aiding the exhala- 
tion of nitrogen. The calcium phosphate reduces cerebral ex- 
citability. The pancreatin and sodium benzoate aid digestion 
and overcome intestinal fermentation. 

In an article upon epilepsy Dr. William F. Waugh says : — 

"Here is one remedy whose action in some cases of epilepsy 

seems too well proved to permit it to be neglected, and yet its 



Hand-Book of Modern Treatment. 169 

mode of action is not at all explained. This is verbenin. It 
was introduced to my notice some years ago by Dr. H. D. Fair. 
After this, Dr. French took it up, and reported some un- 
doubted cures in which verbenin figured largely. He at- 
tributed the epilepsy to intestinal parasites of the maggot fam- 
ily, and believed verbenin acted upon these. A number of other 
cases have been reported in which verbenin proved useful, in 
which the parasites were not noticed, though I am not sure 
they were searched for in all cases. While some failures have 
been reported, this is not to be wondered at in dealing with a 
newly-introduced remedy whose action, physiological and thera- 
peutic, is as yet undetermined. That it has sometimes suc- 
ceeded is the interesting point. 

"I have been unable to find anything to show what effect 
verbenin exerts on the vital functions. The directions I have 
given in advising this remedy are to administer 1 / 3 grain four 
times a day, and add 1 / 3 grain a day whenever a fit occurs. 
•Some persons report having reached doses of 19 grains a day 
without notable effects; but usually before 3 grains a day have 
been reached the good effects of the drug are manifested in the 
gradual lightening and final cessation of the convulsions. 

"In this connection it may be well to call attention to a 
remedy which has been termed 'anti-epilepsy/ It is composed of 
atropine and glonoin, 1 / 250 grain each. This remedy has proved 
quite effective, the patient carrying it about and taking 1 or 
more granules whenever the fit threatens. The glonoin flushes 
the face almost instantaneously, and this effect is sustained and 
prolonged by the atropine. By this means the convulsion is 
jugulated at the start. After the patient has learned to rely on 
this powerful and effective remedy he finds it acts even better 
than at first, so that in time the knowledge that he has an un- 
failing means of preventing the development of the convulsion 
will suffice to allay the irritability, without his needing to have 
recourse to its administration." 

We have in chloretone a drug which, in selected cases, is 
an excellent substitute for the bromides. It is a drug which in 
my experience gives good results with increasing dosage after 
the primary effect is obtained. In administering the drug it is 
usually put up in capsules, and sufficient is given in the begin- 



170 Hand-Book of Modern Treatment. 

ning to produce an hypnotic effect. In a large class of epileptic 
cases the fits occur most frequently at night, and one dose of 
15 or 20 grains a day is given at night until a drowsy effect on the 
following day is produced * if the desired results in reducing the 
number of fits are obtained, the dose is reduced one-half and the 
patient kept on this indefinitely. The dietetic, hygienic, and 
constitutional treatment is rigidly enforced in conjunction with 
the administration of the chloretone. 

IJ Potassii bromidi, 3x. 

Sodii bromidi, 3iij. 

Ammonii bromidi, 3iij. 

Sodii benzoati, 3iij. 

Aquse destil., Oij. 
Misce. 

Sig. : As a beginning dose take one table- 
spoonful after breakfast and at bed time. 

The dose should be increased so as to control the seizures. 
If the epileptic attack recurs at a regular hour each day, two- 
thirds of the daily amount should be given an hour before the 
time of the expected attack. 

I£ Acidi hydrobromici diluti, m x. 
Ferri bromidi, gr. j. 
Potassii bromidi, gr. x. 
Sodii salicylates, gr. ij. 
Spiritus rectificati, m x. 
Glyceroli pepsini, m x. 
Olei gaultheriae, m ss. 
Liq. ammonii citrati (B. P. ), 3ss. 

Misce. 

Sig. : At one dose. Double it if necessary. 

1^ Sodii bromidi, 3x. 

Fluidextracti solani Carol inense, gij- 
Aqua? camphorse, q. s. ad §iv. 
Misce. 

Sig. : One teaspoonful three times a day in 
water. 

I£ Bromidi strontii, 3j. 
Elix. curacose, §iij. 

Misce. 

Sig. : Teaspoonful in water four times a day. 



Hand-Book of Modern Treatment. 171 



I£ Lactatis stanni, gr. xl. 
Elix. curacoae, §iij. 

Misce. 

Sig. : Alternate these formulae "weekly. Ap- 
ply a current of galvanism descending from 
the forehead to the sacrum daily, of from 10 
to 50 milliamperes, for a half-hour. 

1$, Potassii bromidi, 3iij. 

Infus. adonis vernalis, fgiv. 

Aquae dest., q. s. ad f^vj. 
Misce. 
Sig. : Dessertspoonful three times daily. 

I£ Ammon. bromidi, §j. 

Antipyrinae, 3ij. 
Misce et fiant chartulae no. xxiv. 
Sig. : One powder twice daily. 

I£ Liq. potassii arsenitis, 3iv. 
Sig. : Give three drops twice daily with the 
above description. 

I£ Potassii bromidi, 3iv. 

Tinct. belladonnae foliorum, 3ij. 

Syrupi simplicis. f3iij. 

Aquae, q. s. ad f^iij. 
Misce. 
Sig. : Teaspoonful in water after meals. 



EPISTAXIS. 

The best remedy for bleeding at the nose is the vigorous 
motion of the jaws as if in the act of chewing. In the case of a 
child, a wad of paper should be inserted and chewed hard. It 
is the motion of the jaws that stops the flow of blood. The 
remedy is very simple, but has never been know T n to fail in a 
single instance, even in the severest cases. 

For epistaxis Hutchinson recommends that the patient soak 
his hands and feet in water as hot as can be borne : a method 
which he says never fails, even in obstinate cases. 

The treatment of nose-bleed is local and the most reliable 
means available is plugging the nostrils with cotton which is 



172 Hand-Booh of Modern Treatment. 

saturated with adrenalin chloride 1 to 2000. Compression of 
the artery on the npper lip near the nose by pressure against the 
jawbone will often control the haemorrhage. 

I£ Antipyrini, gr. viiss. 
Tannini, gr. xv. 
Pulv. saccharini, gr. cl. 

Sig. : To be used locally. 

I£ Gelatini, gr. cv. 

Acidi salicylici, gr. iv. 

Aquae bullientis, §iij. 
Misce. 
Sig. : Inject a teaspoonful into the nostril. 

In habitual epistaxis without regard to the cause, the fre- 
quency of the attacks, or their severity, Woodward says ammo- 
nium carbonate is an absolute specific. Two grains every ten 
minutes will stop the flow quickly during the attack. To cor- 
rect the tendency and overcome the habit, 2 grains should be 
given from three to six times each day. 

In a case of severe epistaxis Professor J. Chalmers Da 
Costa used Carnot's formula of: — 

1$, Normal salt solution, 16 parts. 

Gelatine, 1 part. 
Misce. 

Saturating the cotton with this solution, he plugged the 
nose in the usual way. The advantage of this solution is that 
it forms an aseptic coagulum. 

Dr. Gillette recommends the use of a peroxide of hydrogen, 
a teaspoonful or more in full strength, injected by means of an 
ordinary syringe, as a remedy for epistaxis, claiming the relief 
to be immediate. In operations in the nasal cavity when bleed- 
ing obscures the vision, injection of peroxide of hydrogen will 
check the haemorrhage, and if the patient be asked to blow the 
nose the field will be found to be clear again. 

1^ Liq. adrenalini chloridi (1 to 1000). 
Sig. : Place on pledget of cotton and insert 
in the nose. 



Band-Book of Modern Treatment. 173 

IJ Pulv. aluminis, ^ss. 

Pulv. amyli, gss. 
Misce. 
Sig. : Snuff up the nostrils. 

I£ Alumnol, 25 per cent, sol., gss. 
Sig. : Place on pledget of cotton and place 
on bleeding point. 

I£ Argenti nitratis (40 per cent, solution), 

3ij. 
8ig. : Touch the bleeding points with this. 

J$ Acidi tannici, 3ij. 

Pulveris amyli, 3ss. 
Misce. 
Sig.: Use by insufflation. 

ERYSIPELAS. 

Mortimer recommends as prophylactic measures in the 
treatment of erysipelas that the patient should be isolated and 
that all dressings should be burned when removed. Proper ven- 
tilation should be established and thorough cleanliness observed. 
In the general management of the patient, small doses of calo- 
mel, 1 / 8 grain, every two hours for eight doses, followed by a 
saline, should be given, as well as for the first twenty-four hours 
1 / 4 minim of the tincture of aconite every two hours. 

When stimulation is required, alcohol should be adminis- 
tered freely, and if necessary, strychnine and nitroglycerine. 
An ice-bag or cold compresses applied to the head to relieve the 
pain are of service ; in addition the following may be given : — 

I£ Caffeinse, gr. ss. 

Camphor, monobrom., gr. ss. 

Acetanilidi, gr. ij. 
Misce et fiat capsula no. j. 
Sig. : One such capsule every two hours. 

Applied locally to the affected areas the author recommends 
compresses saturated with the following: — 

B Tinct. opii, fgj. 

Liq. plumbi subacet., f§ij. 

Aquae destil., Oj. 
Misce. 
Sig. : To be applied locally on compresses. 



174 Band-Book of Modern Treatment. 

Liquid nourishment should be given liberally and system- 
atically about every three hours. It should consist chiefly of 
milk, broths, and beef juice. Ice cream may be given, also cold 
water acidulated; lemonade may be substituted for the water. 
During convalescence a general tonic treatment is indicated with 
some form of iron : — 

IJ Strychninae sulph., gr. Vso- 

Acidi arsenosi, gr. 1 / 50 . 

Ext. gentianae, gr. ss. 

Quininae sulph., gr. ij. 
Misce et fiat capsula no. j. 
Sig. : One such capsule after meals. 

B Strychninae sulph., gr. %. 

Liq. ferri et amnion, acet., fjvj. 
Misce. 

Sig. : One tablespoonf ul in water after 
meals. 

IJ Tinct. opii, 3iv. 

Fluidextracti aconiti, 3ij. 

Ext. belladonnae, 3iv. 

Fluidextracti veratri, 3iij. 

Ichthyoli, q. s. ad §iv. 
Misce. 

Sig. : Apply every three hours. 
Indication: Erysipelas and traumatic in- 
flammation. 

IJ Phenolis, gr. xv. 
Tinct. iodi, gr. xv. 
Mucil. acaciae, 3j. 
Alcoholis (pure), 3v. 
Misce. 

Sig. : Shake and paint over the affected area 
every two hours until the swelling and shiny 
redness have disappeared. 

U Ichthyolis, 3j. 

Ung. zinci oxidi, 3j. 

Misce. 

Sig. : Apply locally and cover with gauze. 



Hand-Boole of Modern Treatment. J 75 

3 Tincturae ferri chloridi, f§ss. 
Sig.: Ten to twenty drops through a glass 
tube every four hours. 

B Ichthyolis, §ij- 

Adipis lanse hydrosi, $ij. 
Sig. : Apply freely and cover with gauze or 
cloth. 

B Tinct. iodi, 3vj. 

Olei camphorse, 3iij. 

Ichthyoli, 3iij. 
Misce. 

Sig. : Shake and apply locally two or three 
times a day. 

W. F. Waugh recommends in the treatment of erysipelas 
the use of pilocarpine in sthenic cases, and iron in asthenic cases. 
During a period of twenty-five years he has had good results 
with this line of treatment, and no deaths. No local treatment 
is recommended. In sthenic cases the pilocarpine is given every 
hour until sweating occurs. When this takes place the edges of 
the involved area begin to recede. This remedy is then sus- 
pended for a day, and if the eruption continues the treatment is 
resumed until it is evident that the remedy has perfect control 
of the disease. In asthenic cases the tincture of the chloride of 
iron, 30 drops every four hours, and nourishment crowded, when 
improvement sets in at once. 

Dr. M. J. Bliem writes that as an external application he 
paints the affected area once or twice a day with Norwood's 
tincture of veratrum viride. "It has produced quicker allevia- 
tion than any other treatment I have ever used. I will say 
nothing of the internal treatment, as that will, of course, 
depend." 

FAVUS. 

Ifc Resorcini, 3ij. 

Adipis lanse hydrosi, 3ij. 

Vaselini, Bij« 
Misce. 

Sig. : Massage scalp thoroughly with this 
twice daily. 



176 Hand-Book of Modem Treatment. 

I£ Phenolis, 3j. 

Ung. picis liq., 3ij. 
Ung. hydrargyri nitrat., 3ij. 
Ung. sulphuris, 3iv. 
Misce. 

Sig. : Wash scalp with soap and water every 
day and rub this in well, and should be made 
up once weekly. 

1$ Acidi sulphurosi, §v. 

Sig. : Dilute with water and apply twice 
daily after washing the head. 

IJ Unguenti hydrargyri, 5j« 
Unguenti sulphuris, Sij- 
Misce. 

Sig. : Apply twice daily. 
Indication: Used after scales removed. 

f£ Unguenti chrysarobini, 3ij. 

Ung. picis liquidse, 5ij- 
Misce. 
Sig. : Apply once daily after cleansing scalp. 

1$ Ung. sulphuris, §ss. 

Ung. picis liq., q. s. ad Sij- 
Misce. 

Sig. : Apply to areas affected. 
Indication: Useful in favus of non-hairy 
regions. 

FELON. 

In treating felons do not waste time with poultices, but 
incise at once, drain, use antiseptic dressings, and in some cases 
place the extremity in splints. 

Take a hypodermic syringe and find the sensitive point, or 
take a lead-pencil and press the point down over the felon until 
you thus localize the sensitive point. Go down into the peri- 
osteum with the hypodermic and inject cocaine at this point, 
and keep injecting it as you draw out the syringe. Then cut- 
down to the periosteum with a bistoury, and with a syringe or 
probe go down into the pocket and inject carbolic acid. You 



Hand-Book of Modern Treatment. 177 

have then taken the necessary steps to kill the microbe. If you 
are afraid of carbolic acid poisoning, put in some alcohol. Put 
on a loose dressing. 

A commencing felon will always be aborted by the local ap- 
plication of alcohol under perfect air-exclusion. Cotton is sat- 
urated with alcohol and placed about the affected part, and a 
thin rubber finger-stall applied over all. Seventy-two hours 
usually suffices to give relief or even effect a cure. 

B Tr. opii, 5j. 

Liq. phimbi subacetatis, Sj. 

Aquae, Sxvj. 
Misqe. 

Sig. : Keep affected part well bandaged and 
soaked in the above. 



FCETER OF BREATH. 

I£ Potassii chloratis, gr. xxx. 

Tinct. myrrhae, m x. 

Elix. calisayae, f^iij. 
Misce. 

Sig. : Dilute one tablespoonful with, two of 
water and use as a mouth wash. 

I£ Potassi chloratis, gr. xlviij. 
Acidi muriat. diluti, f3j. 
Syrupi, fgss. 
Aquae, q. s. ad f^iij. 
Misce. 

Sig. : Teaspoonful every two hours for a 
child 3 years old. 

Indication: Foetor due to ulcerative stoma- 
titis. For such this is useful. 

I£ Pepsini (scale), 3iv. 

Acidi hydrochlorici diluti, f3iv. 
Strychninae sulphatis, gr. 14. 
Aquae, q. s. ad fgviij. 
Misce. 

Sig. : A tablespoonful in water after meals. 
Indication: As a result of gastric fermen- 
tation due to an acidity. 

12 



178 Hand-Booh of Modem Treatment. 

IJ Creosoti, m xxx. 

Resorcini ( sublimed ) , gr. xv. 

Alcoholis, f3iv. 

Aquse chloroformi, fSiij- 
Misce. 

Sig. : Tablespoonful in a little water after 
meals. 



FEVER. 

]$ Quinine hydrochloratis, gr. xxxij. 

Acidi hydrochlorici diluti, f3j. 

Syrupi aurantii rubri, f3vij. 

Aquffi, q. s. ad fSiij. 
Misce. 

Sig. : A dessertspoonful every four or five 
hours. 

Indication: Used in hectic fever. 

IJ Hydrarg. chloridi mitis, gr. ij. 
Sodii bicarbonatis, gr. x. 

Misce et fiant tabelte triturationes no. x. 

Sig.: One every one-half -hour and follow in 
four or five hours with saline purge. 

Indication: Used in fever due to an auto- 
intoxication with constipation. 

IJ Tinct. aconitini, m xij. 

Spt. setheris nitrosi, f3iv. 

Syrupi, f3iij. 

Liq. potassii citratis, q. s. ad f^iij. 
Misce. 

Sig. : One or two teaspoonfuls every two 
hours. 

Indication: Used in acute sthenic fevers. 

IJ Antipyrini, gr. xl. 

Syrupi simplicis, f3iv. 

Aquse, q. s. ad Sij- 
Misce. 

Sig. : Half to one teaspoonful every two 
hours for children. 

Indication: Used in sthenic fevers. 



Hand-Book of Modern Treatment. 179 

1$. Tincturse digitalis, f3iij. 

Tincturse ferri chloridi, f3v. 
Misce. 

Sig. : Fifteen drops three times daily. 
Indication: Used in hectic fever. 

FEVER, INTERMITTENT AND REMITTENT. 

I£ Quininse hydrobromatis, gr. xxx. 
Hydrargyri chloridi mitis, gr. v. 
Pulveris capsici, gr. iss. 
Pulveris Doveri, gr. v. 
Aloini purificati, gr. 1 / 6 . 

Misce et fiant capsulse no. vj. 
Sig. : One every four hours. 

I£ Quininse sulphatis, 3ij. 

Acidi sulphurici aromatici, f3j. 

Olei menthse piperitse, m v. 

Fluidextracti glycyrrhizse, i'Sj. 

Grlycerini, f§iv. 
Misce. 

Sig. : A teaspoonful or two every two or 
three hours. 

1$, Quininse sulphatis, 3j. 

Sodii arsenatis, gr. ij. 

Ext. ignatise ale, gr. ij. 
Misce et fiant pilules no. xx. 
Sig. : A pill three times a day. 

I£ Quininse sulphatis, 3j. 

Acidi sulphurici aromat., 3j. 

Liquoris potassii arsenitis, 3j. 

Syrupi aurantii corticis, 5j. 

Aquse, q. s. ad Sv. 
Misce. 

Sig.: A tablespoonful twice a day after 
eating. 

Indication: Used to prevent relapse after 
paroxysms have passed. 

I£ Quininse sulphatis, 3j. 

Elixiris taraxaci comp., Sij- 
Sig. : A teaspoonful twice a day after eat- 
ing. 

Indication: Used to prevent a relapse. 



180 Hand-Book of Modern Treatment. 

The following formula, having the quinine in solution, is 
not very unpalatable, and cured many cases where the quinine 
alone failed : — 

I£ Quininse sulphatis, gr. 1 vel lxxx. 

Acidi hydroehlor. dil., f3iss vel iiss. 

Tinct. zingiberis, f3iiss vel iv. 

Tinct. opii camph., f3ii vel iv. 

Syr. limonis, f^ij. 

Aquse, q. s. ad f^viij. 
Misce. 

Sig. : Tablespoonful every four hours. Take 
through a straw. 

The following prescription is of much value in malaria 
where quick action is not necessary: — 

I£ Pulv. capsicum, gr. x. 

Euonymin, gr. xx. 

Quininse sulph., gr. xxx. 
Misce. 
Sig.: Six grains every three hours. 

The following is a valuable prescription for malaria when 
the stomach is not irritated very much: — 

I£ Tinct. capsicum, 3j. 

Fluidextracti myrica cerifera, 3ij. 
Tinct. cinchonse, 3ix. 

Misce. 

Sig.: One drachm every one or two hours. 

The following is a most excellent combination for malaria 
complicated with pregnancy, where large doses of quinine could 
not safely be used, and also for a large class of patients who have 
an idiosyncrasy against the use of quinine proper : — 

R. Strych. sulph., gr. iij. 

Acidi arsenosi, gr. v. 

Ferri reduct., 3ij. 

Quininse sulph., 3ij. 

Aloes soc, gr. xx. 
Misce et fiant pilulse no. c. 
Sig. : One pill every four hours. 
Indication: Used in chronic malaria. 



Band-Book of Modern Treatment. 181 

Kegarding the after-treatment for malaria, the following 
is most excellent : — 

P* Tinct. fer. mur., fgj. 

Strych. sul., gr. j. 

Liq. arsen. potassii, 3ij. 

Tinct. capsici, 3iij. 

Acidi phos. dil., Siij- 

Glycerini, q. s. ad £v T iij- 
Misce. 

Sig. : One teaspoonful three times a day in 
water. Protect teeth with quill or alkaline 
wash. Label "Shake." 

For children decrease the iron and strychnine according to 
age, and for infants the acid one-half. Keep the bowels well 
open and the skin active by frequent cleansing. If the chills 
return while taking the tonic, stop it and check them with 
quinine ; then give tonic again. Don't promise relief in chronic 
malarial poisoning under three months' regular treatment. 

P* Quininae sulphat., 3j. 

Tinct. ferri chloridi, 3v. 

Liq. acidi arsenosi, 3iss. 

Potassii chloratis, 3j. 

Syr. zingiberis, q. s. ad %iv. 
Misce. 

Sig. : Teaspoonful in water thrice daily 
after meals. 

Pv Quininae sulphatis, 3ij. 

Acidi sulphurici aromatici, 3iv. 

Tinct. ferri chloridi, ^ij- 

Liquoris potassii arsenitis, 3iv. 

Strychninse sulphatis, gr. j. 

Elixiris aurantiae, q. s. ad ^viij. 
Misce. 

Sig. : Shake and give a teaspoonful in a 
wineglass of water before meals, and at bed- 
time if necessary. 

Indication: Pernicious chronic malaria. 

P* Tinct. iodi comp., 3ij. 

Liq. potassii arsenitis, 3j. 
Misce. 
Sig.: Ten or fifteen drops after each meal. 



j.82 Hand-Book of Modern Treatment. 



Ijc, Tinct. iodi, 3iss. 
Potassii iodidi, 3iss. 
Aquae dest., f^v. 

Misce. 

Sig. : One teaspoonf ul in water given in the 
beginning of the paroxysm and repeated in 
about fifteen minutes, if needed. 

Indication: This is supposed to be of special 
value in cases where the chill comes at irregu- 
lar intervals. 

IJ Liquoris potassii arsenitis, f§j. 

Sig. : Three to five drops after meals. 

Indication: In conjunction with quinine be- 
tween paroxysms as antiperiodic. Also in ma- 
larial cachexia. 

IJ Acidi arsenosi, gr. 1 / 30 . 

Salicini, gr. iij. 

Ferri reducti, gr. ij. 

Strychninae sulphatis, gr. V 60 . 

Phosphori, gr. V»o- 

Podophyllum, gr. Vis- 

Capsici, gr. 1 / 8 . 

Extracti gentianse, q. s. 
Misce et fiat pilula no. j. 
Sig. : One pill after each meal. 
Indication: Used in pernicious malarial 
fever. 

IJ Quininge hydrochloratis, 3j. 

Saloli, gr. xl. 

Codeime sulphatis, gr. iij. 

Phenacetini, gr. xxx or xl. 
Misce et fiant in capsulas no. xij. 
Sig. : One capsule every three or four hours. 
Indication: Used in both the intermittent 
and remittent forms. 

IJ Methylene blue, gr. j. 

Arseni iodidi, gr. 1 / 40 . 

Hydrarg. iodidi, gr. V 30 . 

Ferri iodidi, gr. V 12 . 

Strychninse sulphatis, gr. 1 / eo . 
Misce et pone in capsulam no. j. 
Sig.: One capsule three times daily. 



Hand-BooTc of Modern Treatment. 133 

The above combination is markedly beneficial in cases of 
chronic splenic enlargement due to malaria. It is advisable to 
discontinue the capsules at once, because there occurs a reaction 
which weakens the patient. In most cases of malaria you can 
dispense methylene blue in cinnamon-water every two hours 
until the chills disappear, and after that you can use the fol- 
lowing combination, which will stand you in good need: — 

IJ Methylene blue, gr. V«- 

Liq. potassii arsenitis, m j. 

Aquae cinnamomi, 3j. 
Mi see. 

Sig. : This dose three times daily after 
meals. 

I£ Tetramethyli thionini chloridi, 3j. 

Methylene blue, 
Pone in capsulas no. xxiv. 
Sig. : One capsule every four hours. 

I£ Euquinae, 3ij. 

Fiant chartulae no. xij. 

Sig. : A powder six, four, and two hours 
before repeated paroxysm. 

Indication : This is a tasteless salt and well 
suited for children. 

IJ Cinchonas sulphatis, 3ss. 

Liq. potassii arsenitis, f3iss. 

Tinct. ferri chloridi, f^ss. 

Syrupi zingiberis, f^iss. 

Aquae destillatae, q. s. ad f§iv. 
Misce. 

Sig. : A dessertspoonful after meals. 
Indication: Used in chronic cases. 

B Tinct. cinchonas comp., f^iv. 

Tinct. nucis vomicae, f3j. 

Fluidextracti taraxaci, f§ij. 

Fluidextracti rhamni purshianae, f^ij. 
Misce. 

Sig. : Half to a tablespoonful in water three 
or four times a day. 



1 34 Hand-Book of Modem Treatment. 

R Tinct. Warburgi, %iv. 

Sig. : A tablespoonful and repeat in four 
hours to prevent attack. One to two tea- 
spoonfuls after meals as a prophylactic. 



FEVER, RELAPSING. 

I£ Saloli, 3ss. 

Phenacetini, 3j. 
Misce et fiant chartulae no. xij. 
Sig. : One powder every two hours. 
Indication: Used to relieve muscular pains. 

To increase the elimination and as a febrifuge in scarlet 
fever : — 

1$ Tinct. aconiti, m viij. 

Potassii citratis, 3iij. 

Syr. limonis, §ss. 

Aquae, q. s. ad §iv. 
Misce. 
Sig. : One teaspoonf ul every hour or two. 

And as a gargle for the throat in scarlet fever the follow- 
ing:— 

I£ Acidi carbolici, 3ss. 

Glycerini, gj. 

Aquae camphorse, 5j- 

Potassii chloratis, gr. x. 

Aquae dest., q. s. ad 3vj. 
Misce. 
Sig. : Use as a gargle or spray. 

Ointments for hastening desquamation and for the benefit 
of the skin in scarlatina: — 

I£ Ichthyoli, 3vj, 
Olei olivarum, 3j. 
Lanolini, §x. 
Sig. : Rub in thoroughly over the entire 
body every six or twelve hours. 



Hand-Book of Modern Treatment. 135 

I£ Ichthyoli, §j. 
Glycerini, §ij. 
Aquae rosae, §v. 
Misce. 

Sig. : Alternate every six hours with pre- 
ceding ointment or apply either one every six 
hours. 

The latter prescription will promote desquamation quicker 
than the first. 

IJ Glycerini, 3iv. 

Aquas hydrogenii dioxidi (15 volume), 
§ivss. 
Misce. 

Sig. : Use as inunction all over the body 
except the head, once daily. 

Indication: Shortens period of scarlatinal 
desquamation. 

R Sodii salicylatis, gr. xlviij. 
Aquae destillatae, f3ij. 
Syrup i aurantii, q. s. ad f^iij. 

Misce. 

Sig. : A teaspoonful every hour during the 
day and every two or three hours at night, in 
a little water. 

Indication: Given throughout the attack 
and for some days after defervescence has en- 
sued. 

I£ Potassii chloratis, 3ij. 

Tinct. ferri chloridi, f3j. 

Aquae, q. s. ad Siij- 
Misce. 

Sig. : Dessertspoonful in a half glass of 
water used as gargle every two hours. 
Indication: Used for sore throat. 

I£ Ung. picis liq., 3i-gj. 

Ung. zinci oxidi, §j. 

Vaselini albi, §j. 
Misce. 

Sig. : Anoint as needed, once or several 
times daily. 

Indication: To prevent itching. 



186 Hand-Booh of Modern Treatment. 

I£ Ichthyoli, 3vj. 
Aquse, f3ij. 

Misce. 

Sig. : Fifteen drops placed in a capsule three 
times a day at times of administration for a 
child five years old, and use at the same time 
the following prescription: — 

I£ Olei terebinthinse, f§ss. 

Sig. : Five drops in milk three times daily 
for a child five years old. 

Indication: Used at same time as the above 
prescription. 

I£ Phenolis (acidi carbolici), f3j. 

Olei oliva?, f§xvj. 
Misce. 

Sig. : Anoint the body several times daily. 
Indication: Used to allay itching. 

I£ Spt. setheris nitrosi, f§j. 

Potassii citratis, 3ij. 

Aqua? destillatse, q. s. ad fsvj. 
Misce. 

Sig. : A teaspoonful every two hours if 
urine is high colored. 

I£ Tinct. ferri chloridi, 3j- 

Sig. : Five minims diluted and through a 
glass tube three times daily. 

Indication: To combat anaemia and infec- 
tion during later stages and convalescence. 

"Widowitz has never had a case of nephritis among one 
hundred and two scarlet fever patients treated since he intro- 
duced the plan of preventive administration of urotropin. He 
gives from 0.05 to 0.5 gram of urotropin three times a day, ac- 
cording to age, during the first three days of the disease, and 
again, at the beginning of the third week, for another three 
days. 

I£ Infusi digitalis, fgss. 

Spiritus setheris nitrosi, fgss. 

Potassii bitartratis, 3ij. 
Misce. 

Sig.: A teaspoonful in water every two or 
three hours. 

Indication: Used when urine is scanty. 



Hand-Book of Modern Treatment. 187 

FEVER, TYPHOID. 

THE WAY TO SPONGE FEVER PATIENTS. 

The following prize-winning description of how to sponge 
a patient is quoted from the Hospital. When about to com- 
mence to sponge a fever patient the exact temperature of the 
body must first be noted. For tepid sponging the water pre- 
pared should be from 80° to 90° F. Remove all personal cloth- 
ing from the patient and place blankets both under and over 
him. Place beside the bed all basins, sponges, and towels, or 
anything that may be required, as under no circumstances should 
a patient be left during an operation. Commence at the head 
and sponge downward, exposing only one limb at a time. When 
the whole body has been sponged the patient should be wrapped 
in a warm blanket and left undisturbed for an hour or even 
longer. The temperature may then be taken again to ascertain 
how much it has been reduced. The same precautions should 
be used in cold sponging as in tepid. It will, however, be found 
advisable to sponge each limb over with tepid water before apply- 
ing the cold, as it will then cause less shock to the patient. It is 
wise to keep a hot bottle at the patient's feet during sponging, 
as with the feet warm there is less fear of chill, and in the case 
of a fever patient there is always more or less danger of col- 
lapse. When the temperature has been reduced the body must 
be gently dried and a flannel nightgown put on. After a cold 
sponge the temperature may fall from 1 to 6 degrees; the 
colder the water the sooner the reaction takes place. Ammonia, 
cologne-water, or vinegar added to the water makes it more 
cooling by its rapid evaporation. Sponging can also be done by 
wringing towels out of cold water, dry enough not to drip, and 
placing them one after another from the neck downward. When 
the feet are reached, begin again at the head and renew each in 
succession, continuing as long as necessary. 

Absolute rest for the patient and bowels, obtained by with- 
holding food for several hours and by the free exhibition of 
opium, preferably in the hypodermic injections of morphine or 
the following: — 



188 Hand-Book of Modern Treatment. 

IJ Acidi tannici, gr. x. 

Tinct. opii, m x. 

Spiritus terebinthinse, mxv. 

Mueilaginis aeacise, 3ij. 

Tinct. chloroformi comp., m xx. 

Aquse menthae piperitse, q. s. ad Sj« 
Misce. 

Sig. : Tablespoonful at one dose. 
Indication: Used in intestinal haemorrhage. 



The following to prevent meteorism and aid in checking 
haemorrhage : — 

I£ Spiritus terebinthinse, 3ij. 

Spiritus setheris nitrosi, 3ij. 

Spiritus chloroformi, 3ij. 

Emulsii amygd., q. s. ad §vj. 
Misce et fiat mistura. 

Sig. : Shake bottle and give tablespoonful at 
a dose every three to four hours as required. 

An ice-bag laid over right side of the abdomen; when 
haemorrhage is so profuse as to threaten life, ice-water enemata 
or a hypodermic injection of salt solution may be employed; 
in such cases 20 grains of chloride of calcium every few hours 
are of value. 

B Acidi sulphur ici aromatici, f3ij. 
Fluidextracti haematoxyli, f3iij. 
Syrupi zingiberis, f^iij. 
Misce. 

Sig. : A teaspoonful in water every hour 
until relieved. 

Indication: Used when diarrhoea is trouble- 
some. 

R, Spiritus glycerylis nitratis, m xxiv. 

Tinct. nucis vomicae, m lxxij. 

Tinct. cardamomi comp., fSiij- 
Misce. 

Sig. : A teaspoonful three times a day after 
about the second week. 



Hand-Book of Modern Treatment. 189 



B Acidi hydrochlorici diluti, 3iv. 

Aquae, q. s. ad gvj. 
Misce. 

Sig. : One teaspoonful three times daily. 
Indication: Used to aid digestion. 

1$, Bismuthi subnitratis, 3ij. 

Fiant chartulee no. xij. 

Sig.: One powder every three or four hours. 

Indication: Used to control diarrhoea. 

I£ Olei terebinthinee, f3j. 

Olei olivae, f^iv. 

Emulsi asafoetidae, q. s. ad Oj. 
Misce. 

Sig. : Shake well and use as an injection. 
Indication: Used in excessive tympany. 

I£ Hydrarg. chloridi mitis, gr. j. 
Sodii bicarbonatis, gr. x. 

Misce et fiant chartulse no. vj. 

Sig. : One powder every fifteen minutes until 
one grain is taken, then followed with mag- 
nesium sulphate one-half ounce. 

Indication: Used during initial stage of dis- 
ease to empty the intestine. 

I£ Urotropin, 3ij. 
Fiant chartulse no. xxiv. 
Sig. : One powder twice daily. 
Indication: Used to render urine sterile and 
act as an intestinal antiseptic. 

R, Glycerini, ^viij. 

Aquse, Sviij/ 
Misce. 

Sig. : Mouth is washed frequently with this, 
to which a little lemon juice may be added. 

R Hydrarg. chloridi corros., gr. j. 

Elix. calisaya, §iij. 
Misce. 

Sig. : A teaspoonful four times a day. 
Indication: Useful after typhoid. 



190 Hand-Book of Modem Treatment. 



James Billingslea stated that in one year he had treated 
in private and hospital practice 150 cases of typhoid fever, with 
acetozone, and the results had surpassed his expectations, not 
a single death having occurred. This special treatment con- 
sisted in dissolving 15 to 20 grains of acetozone powder — equal 
to iy>2 or 10 grains of the benzoyl-acetyl-peroxide — in a quart 
of water and giving the patient this amount to drink in the 
twenty-four hours, both in water and in milk, diluting the milk : 
1 part of acetozone solution to 3 parts of milk. The action of 
the drug would be materially aided by administering a mild 
saline laxative — say, sodium phosphate or magnesium sulphate 
— every other day. 

B Naphtholis, 3ij. 

Bismuthi subsalicylates, 3ij. 
Misce et fiant chartulae no. xv. 
Sig. : One powder every hour as required. 
Indication: Useful for children when diar- 
rhoea is profuse. 

FEVER, TYPHUS. 

Ifc Antimonii et potassii tartratis, gr. iv. 

Tinct. opii, f^j. 

Aquae camphorae, f^viij. 
Misce. 

Sig. : A tablespoonful every two hours. 
Indication: Used in sleeplessness and ex- 
treme nervous excitement. 

I£ Guaiacoli, f3iv. 

Sig. : Ten to twenty drops in teaspoonful of 
sweet oil applied over abdomen. 
Indication: Used to reduce fever. 

I£ Extracti opii, gr. iv. 
Fiant pilulae no. viij. 

Sig. : One pill every three hours until quiet. 
Indication: For restlessness when no lung 
complication is present. 

1$, Acidi phosphorici diluti. 
Sig. : Twenty to thirty minims well diluted 
every four or six hours. 



Hand-Book of Modem Treatment. 191 

FEVER, YELLOW. 

IJ Hydrarg. chloridi mitis, gr. v. 

Sodii bicarbonatis, gr. x. 
Misce. 

Sig. : Place on the tongue. 
Indication: Used as initial purge. 

IJ Cocainse, gr. xxiv. 

Aquae, f§iij. 
Misce. 

Sig. : Teaspoonful every two hours. 
Indication: Used for vomiting. 

IJ Potassii iodidi, gr. ij. 

Liq. potassii arsenitis, gtt. ij. 

Misce. 

Sig. : One such dose every two or three 
hours. This should be given throughout the 
entire course of the disease, beginning with the 
second day. 

1$. Morphinae sulphatis, gr. ij. 

Fiant chartulae no. xij. 

Sig.: Dissolve one powder in twelve minims 
of water and give hypodermically as needed. 

Indication: Used to control vomiting and 
relieve from restlessness. 

IJ Tinct. digitalis, 3iij. 
Sig. : Five minims three times daily. 
Indication: Used to stimulate the circula- 
tory system. 

FISSURE OF ANUS AND NIPPLES. 

To relieve the pain and to promote healing the following 
may be used: — 

IJ Iodoformi, 3j. 

Acidi carbolici, gr. xx. 

Petrolati, §j. 
Misce. 

Sig.: Apply once daily. 

Indication: Used to relieve pain and pro- 
mote healing in anus. 



192 Hand-Booh of Modem Treatment. 

1$ Sulphuris loti, 3vj. 

Potassii bitartratis, 3ij. 

Pulv. sennas, 3j. 
Misce et fiant cachetse, no. xij. 
Sig. : One at night as a laxative. 
Indication: Used in anus. 

I£ Bismuthi subnitratis, gr. x. 

Aristol, gr. ij. 

Pulv. opii, gr. ss. 

Olei theobrom., q. s. ad suppos. no. j. 
Misce. 

Sig. : Introduce one hour before bowels 
move. 

IJ Potassii bromidi, 3j. 

Glycerini, f3v. 
Misce. 
Sig. : Apply locally to cnus. 

B> Phenolis (acidi carbolici), gr. xxiv. 

Aquae, fgj. 
Misce. 

Sig. : Apply several times daily to the nip- 
ples. 

B Ichthyoli, 3ij. 

Glycerini, 3iij. 

Lanolini, 3v. 
Misce. 

Sig. : Apply freely after nursing and remove 
by thorough washing before the next morning. 

B> Acidi tannici, 3j. 
Iodiformi, 3j. 

Misce. 

Sig. : Bathe nipples after each nursing and 
cover with gauze moistened with a saturated 
solution of boric acid. 

R> Argenti nitratis, gr. x-xx. 

Aquae destillatse, Bj- 
Misce. 

Sig. : Apply to fissure once daily. 
Indication: Used to produce healing. 



Hand-Book of Modern Treatment. 193 



FISTULiE. 

1$, Formaldehydi (40 per cent, solution), f§j. 
Sig. : Five to ten drops in half pint of water, 
and inject into fistula once daily. 

Ifc Argenti nitratis, gr. xv. 

Aquse dest., fSj. 
Misce. 

Sig. : Inject a few drops into fistula once 
daily. 

Indication: Used to promote healing. 

R, Phenolis (pure), gr. viij. 
Olei olivffi (boiled), f&j. 
Misce. 
Sig. : Apply on absorbent cotton. 



FLATULENCE. 

The following has been useful in flatulency and gastric 
fermentation : — 

I£ Aquae chloroformi, fSviij. 

Sig. : Tablespoonful before and after meals. 

Used in chronic gastric catarrh: — 

I£ Sodii sulphocarb., gr. iv-viij. 

Syr. aurantii, m xl. 

Aquas nienthse pip., q. s. ad 5j- 
Misce. 

Sig.: One teaspoonful three times a day for 
two days. 

Indication: Used in flatulence of children. 

I£ Ext. colocynth. comp., gr. V 3 . 

Terebinthinaa (Venice), gr. j. 

Pulveris aloes Soc, gr. iss. 

Ext. nucis vomicae, gr. 1 / i . 

Ext. hyoscyami, gr. j. 
Misce et fiat pilula no. j. 
Sig.: One such pill twice daily. 
Indication: For constipation with flatu- 
lence. 

13 



194 Hand-Boole of Modern Treatment. 

IJ Acidi salicylici, gr. xxiv. 

Oleoresinae capsici, gtt. vj. 

Strychninae sulphatis, gr. ss. 

Ext. gentianae, gr. xxiv. 
Misce et fiant pilulae no. xxiv. 
Sig. : One after meals. 

I£ Pulv. zingiberis, 3ij. 

Pulv. acaciae, 3ij. 

Sodii bicarb., 3ij. 

Bismuthi subnit., 3ij. 

Sacch. alb., 3ij. 
Misce. 

Sig. : Teaspoonful in water. 
Indication: Used in flatulency with gastro- 
intestinal catarrh. 

Flatulency is said to be relieved by 1-grain doses of cam- 
phor given three times a day. 

IJ Olei terebinthinae, fSj. 
Olei olivae, f^iss. 
Camphorae, gr. xx. 
Mucilaginis acaciae, fgss. 
Aquas, f£x. 
Misce. 

Sig. : To be injected as an enema for the 
relief of tympanites and to aid in the removal 
of hardened faeces. Stir thoroughly before 
using. 

!R. Betanaphtholis, 3j. 

Pone in capsulas no. xx. 

Sig. : One capsule three times daily after 
meals. 

Indication: Useful in gastric fermentation 
and flatulence. 

I£ Tinct. nucis vomicae, f3j. 

Tinct. physostigmatis, f3j. 

Tinct. belladonnas, f3j. 
Misce. 

Sig.: Fifteen drops in a little water two 
or three times daily. 



Hand-Book of Modern Treatment. 195 



I£ Aloes, gr. xxiv. 

Asafoetidse, gr. xlviij. 
Misce et fiant pilulae no. xxiv. 
Sig. : One after meals. 

Indication: Used in flatulence and constipa- 
tion of old people. 

R, Tinct. asafcetidae, f3j. 
Aquae, q. s. ad f§viij. 
Misce. 

Sig.: A teaspoonful three or four times a 
day. 

1$. Magnesii sulphatis, Zj. 

Spiritus ammoniac aromatici, f3j. 

Spiritus cinnamomi, fiiij. 

Aquae destillatae, fSvj. 
Misce. 

Sig. : A tablespoonful every two hours. 
Indication: Used in sour eructations. 



FROSTBITE.— See also Chilblains. 

B Fellis bovis recentis, Oss. 

Sig. : Warm and rub in well daily. 

B Ung. thioli (20 per cent, sol.), gss. 
Sig. : Apply locally. 

I£ Tinct. iodi, §ss. 

Sig. : Apply with a brush once or twice 
daily. 

Indication: Only to be employed when the 
skin is unbroken. 

1$, Liq. plumbi subacetatis, §j. 
Tinct. opii, 3j- 

Aquae destillatae, q. s. ad 3xvj. 
Misce. 

Sig. : Apply freely on well moistened soft 
cloth. 

Indication: Used in mild cases to relieve 
pain. 



196 Hand-Book of Modern Treatment. 

IJ Olei cajuputi, f3vij. 

Olei amygdalae dulcis, f3xvij. 
Misce. 
Sig. : Apply three times daily on lint. 

1^ Balsami peruviani, 3ij. 

Ichthyoli, 3ij. 

Adipis lanse hydrosi, 3iv. 
Misce. 
Sig. : Apply to affected part freely. 



FURUNCLE.— See also Carbuncle and Abscess. 

I£ Sodii boratis, 3j. 

Acidi borici, 3j. 

Acidi salicylici, 3j. 

Acidi tannici, 3j. 
Misce. 

Sig. : Sprinkle upon the surface of a yeast 
poultice and apply. 

Ifc Quininge sulph., 3j. 

Ferri pyrophos., 3j. 

Strychnia sulph., gr. j. 

Acidi phosphori dil., f3ij. 

Syr. zingiberis, f§ij. 

Aquaa dest., q. s. ad f^iv. 
Misce. 
Sig. : Teaspoonful three times a day. 

Or tinct. ferri mur., gtt. xxv, in water just before each meal. 

IJ Calcis chloridi, gij. 

Aquae camphorae, §iv. 

Tinct. myrrhae, 3ij. 

Creosoti (beechwood), m xx. 

Glycerini, §j. 
Misce. 

Sig. : Apply constantly in form of wet com- 
press. 

Indication: To abort furuncles. 

This will positively remove the most excruciating pain in 
three or four hours, and will render any form of surgical treat- 



Band-Book of Modern Treatment. 197 

ment unnecessary if begun in time, and is constantly and faith- 
fully applied. 

I£ Europheni, 3j. 

Olei olivae, 3ij. 

Lanolini, 3v. 

Olei petrolati, 3v. 
Misce. 

Sig. : Apply locally and cover with sterilized 
gauze. 

It is claimed by Dr. J. Eilus Eastman, professor of sur- 
gery in Central College of Physicians and Surgeons of Indian- 
apolis, that a commencing felon will always be aborted by the 
local application of alcohol under perfect air exclusion. Cot- 
ton is saturated with alcohol and placed about the affected part 
and a thin rubber finger-stall applied over all. Seventy-two 
hours usually suffices to give relief or even effect a cure. He 
learned this in von Bergmann's polyclinic, in 1897, since which 
time he has not had occasion to lance a single felon, the treat- 
ment of which was begun in time by this method. 

Gallois and Courcoux employ a solution consisting of 4 
grammes of iodine to 10 grammes of acetone for the abortive 
treatment of furuncles. The nodules are touched with an appli- 
cator carrying cotton saturated with the iodine solution. Lesions 
which have not suppurated, and even those which contain a drop 
or two of pus superficially, are aborted within twenty-four hours. 
Barely a second application may be required. The solution is 
more caustic than the tincture and must be used with greater 
care. In an open wound it causes severe pain and may produce 
symptoms of iodism. 

I£ Argenti nitratis, gr. lxxx. 
Aquae dest., f3iv. 

Misce. 

Sig. : To be applied two or three times on 
the inflamed surface, and beyond it, on the 
healthy skin. 

B Calcii sulphidi, gr. iij. 
Ext. glycyrrhiz33, q. s. 
Fiant pilulse no. xxx. 
Sig. : One pill every one or two hours. 



198 Hand-Book of Modem Treatment. 

GALL-STONE COLIC. 

The intermittent, sharp, stabbing-like pains of short dura- 
tion, denoting the progressive onward passage of small stones, 
can most positively be overcome by the following: — 

IJ Fluidextraeti podophylli, m xxiv. 

Fluidextracti dioscorese vil., f3iij. 

Tinct. lobelise, f3ij. 

Aquae chloroformi, ad f^iv. 
Misce. 
Sig. : A teaspoonful every half-hour. 

Olive-oil, so highly extolled, is not a specific, as some au- 
thors would have us believe, and it is certainly a nauseating 
medicine to most persons suffering the tortures of colic, with 
its reflex nausea and vomiting. Its action may be relied upon 
only when the obstruction is at the diverticulum of Vater. If it 
is combined with aromatics it is more likely to be retained. The 
following has been successful: — 

I£ Olei cinnamomi, m v. 

Methylis salicylates, m vj. 

Mentholis, gr. ss. 

Saccharini, gr. j. 

Ess. anisi, m xv. 

Olei olivae, Oj. 
Misce. 
Sig. : At one dose. 

On being called to a case of gall-stone colic, order applied 
over the gall-duct and gall-bladder cloths wrung out of as hot 
water as the patient can bear. This gives slight temporary re- 
lief, and satisfies the patient that something is being done to 
alleviate the pain. Then prescribe the following: — 

B Fluidextracti lobelise inflatse, f3iij. 
Syrupi pruni Virginianae, fgj. 
Water, q. s. ad f§iij. 
Misce. 

Sig. : A teaspoonful every five or ten min- 
utes until nausea or vomiting is produced, and 
then as often as is necessary to keep up the 
nausea. 



Hand-Book of Modern Treatment. 199 

I£ Sodii bicarbonatis, 3iss. 
Acidi benzoici, 3ss. 
Sodii phosphatis, 3ij. 
Aquae bullientis, %iv. 

Dissolve, filter, and add cinnamon water §vj. 

Sig. : Two tablespoonfuls of this mixture 
may be given three times a day in eases of uric 
acid gravel. 



GANGRENE. 

B Acidi nitrohydrochlorici, gj. 

Sig. : Apply to affected parts with a glass 
rod. If it burns too deeply apply a solution of 
soap. Used in hospital gangrene. 

IJ Tinct. ferri chloridi, §ij. 

Sig. : Give two minims every three hours, 
in water, and through a glass tube. 

Indication: Used to prevent pysemic infec- 
tion in moist gangrene. 

B Bromi, fgj. 

Sig. : Pour bromine into a glass of water, 
then draw into syringe and inject into the 
wound, and then cover wound with antiseptic 
fomentations. 

I£ Hydrargyri chloridi corrosivi, gr. xv. 

Aquse, Oij. 
Misce. 

Sig. : Cover affected area with gauze well 
saturated with this. 



GASTRALGIA. 

Ifc Codeinse sulphatis, gr. v. 

Atropinse sulphatis, gr. 1 / 10 . 

Aconitinse, gr. 1 / 20 . 

Ext. cannabis Indicse, gr. ij. 
Misce et fiant pilulee no. xx. 
Sig. : One pill every half-hour until four 
are taken; then one pill as indicated. 
Indication: To relieve acute pain. 



200 Hand-Booh of Modern Treatment. 

I£ Arseni trioxidi, gr. ss. 

Extracti gentianae, gr. xxiv. 
Misce et fiant pilulas no. xij. 
Sig.: One pill three times daily between 
meals. 

1^ Olei cajuputi, f3j. 
Tinet. capsici, fSiij. 
Lin. camphoree ammon., f3iv. 
Misce. 

Sig. : For external use. Rub in for five to 
ten minutes once or twice daily. 

Indication: Useful in severe cases as a 
counter-irritation over the epigastrium. 

R. Tinct. belladonnas, f3j. 

Tinct. calumbse, f3j. 

Tinct. arnicse, f3j. 

Tinct. opii camphoratse, f3j. 
Misce. 

Sig. : Five to ten drops in suga r-water every 
three hours until pain ceases. 

1$, Bismuthi subnitratis, gr. x. 

Bismuthi subsalicylatis, gr. x. 

Pulv. ipecacuanha?, gr. j. 

Benzonaptholis, gr. x. 
Misce. 
Sig.: One such powder after each meal. 

I£ Tinct. belladonna?, m xx. 

Tinct. capsici, m v. 

Tinct. gentianse comp., fSij. 

Aquas dest., f^j. 
Misce. 

Sig.: One teaspoonful before each meal. 
Indication: To relieve pain if gastric fer- 
mentation is present. 

1$, Besorcinolis, 3iiss. 

Bismuthi subsalicylatis, 3iiss. 

Pulv. rhei., Siiss. 

Sodii sulphatis, 3iiss. 

Sacchari lactis, §ss. 
Misce. 

Sig. : One-half teaspoonful twice daily. 
Indication : Pain with gastric fermentation. 



Hand-Booh of Modern Treatment. 201 

IJ Codeinse sulpha tis, gr. iij. 

Ext. cannabis Indicae, gr. ij. 

Ext. nucis vomicae, gr. iij. 
Misce et fiant pilulse no. xij. 
Sig. : One three times daily after meals. 
Indication: Useful in excessive gastralgia 
in chronic gastritis. 

For many years Professor Whitf ord has taught his classes to 
prescribe the bicarbonate of soda freely where there is persist- 
ent pain in the stomach, often depending upon gastric ulcer. 
Sir Lauder Brunton has recently advised that a teaspoonful of 
the bicarbonate of soda in a little lime-water, to which the es- 
sence of peppermint has been added, gives a more speedy re- 
lief from pain from gastric ulcer than morphine. In many 
cases, by the neutralization of acid fluids present, it produces 
relief where morphine will not. 

When flatulence is associated with pain after food and 
coated tongue, indicating gastritis, the following prescription 
should be given: — 

IJ Potassii bicarb, vel sodii bicarb., 3ij. 

Spts. ammoniae aromatici, 3iss. 

Liq. strychninse (P. B. ), 3ss. 

Spt. cajuputi (P. B.), 3iss-3ij. 

Spt. chloroformi, 3j. 

Infusi calumbse vel gentianse co., 3vj. 
Misce et fiant mist. 

Sig. : A sixth part three times a day be- 
tween meals. 

IJ Argenti nitratis, gr. v. 
Ext. hyoscyami, gr. x. 
Misce et fiant pilule no. xx. 
Sig. : One pill before meals. 
Indication: Useful in pain from gastric 
ulcer. 

IJ Spiritus chloroformi, f3iv. 

Spiritus atheris comp., f3iv. 
Misce. 

Sig.: One teaspoonful in water every hour 
until relieved. 

Indication: Used for relief of acute pain. 



202 Rand-Booh of Modern Treatment. 

R, Condurango, f3iv. 

Acidi hydrochlorici diluti, f3iv. 

Tinct. gentianae comp., fgiss. 

Aquae dest., q. s. ad fSiij- 
Misce. 

Sig. : Teaspoonful after meals. 
Indication: Useful in gastralgia in gastric 
cancer. 

1$. Tinct. ferri chloridi, f§j. 

Acidi hydrochlorici diluti, f§ss. 
Liq. acidi arsenosi, f^ss. 
Misce. 

Sig.: From four to fifteen drops in water 
after meals three times daily. 

Indication: Useful in anaemia complicating 
it. 

1^ Tinct. capsici, f3j. 

Tinct. cannabis indicae, f^ss. 

Tinct. opii deodorati, f§j. 

Spt. chloroformi, f^j. 

Tinct. lavand. comp., q. s. ad fSiv. 
Misce. 

Sig. : Teaspoonful every hour until pain is 
relieved. 

Indication: Useful in gastralgia and other 
abdominal pains. 

1^ Acidi hydrocyanici diluti, f3j. 

Fluidextracti cannabis indicae, £3j. 

Tinct. hyoscyami, f3iss. 

Spiritus chloroformi, f3ij. 
Misce. 

Sig. : One-half teaspoonful in water three 
times daily for an adult. 

IJ Chloroformi, 3j. 

Morphinae sulphatis, gr. j. 

Pulv. acaeiae, 3j. 

Aquae, q. s. ad f§iij. 
Misce et fiat emulsio et adde 

Syrupi, f3iv. 

Aquae amygd. amar., f3j. 
Misce. 

Sig. : One teaspoonful every half-hour until 
relieved. 



Rand-Book of Modern Treatment. 203 



GASTRITIS, ACUTE. 

R^ Bisrnuthi subnitratis, gr. v. 

Bismuthi subsalicylatis, gr. v. 

Pulv. ipecacuanhse, gr. j. 

Benzonaphtholis, gr. v. 
Misce et fiat chartula no. j. 
Sig. : One such after each meal. 

I£ Bismuthi subnitratis, gr. xl. 

Cerii oxalatis, gr. xx. 
Misce et fiant chartula? no. xx. 
Sig.: One powder every two hours. 

IJ Sodii bicarbonatis, 3iiss. 
Magnesii oxidi, 3ij. 
Sodii bromidi, Siiss. 
Bismuthi subcarbonatis, gr. lxv. 
Sacchari, 3iiss. 
Olei foeniculi, m iv. 
Misce. 

Sig. : From half a teaspoonful to a tea- 
spoonful to be taken an hour or two after 
eating, and a special dose in case of pain. 

Indication: Pain due to gastric acidity re- 
lieved by this. 

B: Betanaphtholis, gr. x. 

Bismuthi subnitratis, gr. x. 

Bismuthi benzoatis, gr. x. 

Bismuthi subsalicylatis, gr. x. 

Magnesii oxidi pond., gr. x. 

Mentholis, gr. x. 

Sacchari, gr. v. 
Misce et fiat chartula no. j. 
Sig. : One powder three times daily. 
Indication: Useful in gastric fermentation. 

B Ichthyolis, 3iss. 

Tinct. opii, f3ij. 

Bismuthi subcarb., 3iss. 

Syrupi, f3iv. 

Aqua? menth. pip., q. s. ad f^iv. 
Misce. 

Sig. : One dessertspoonful in water before 
meals. 



204 Hand-Booh of Modem Treatment. 

After evacuating the stomach with a siphon and cleansing 
the membrane with a solution of warm water, the following 
antiseptic solution may be used to wash out the stomach : — 

Ifc Thymol., gr. vj. 

Acidi borici, 3iv. 

Aquse destil., Oj. 
Misce. 

Sig. : To be introduced and withdrawn 
through the stomach-tube. 

When flatulence is associated with pain after food and 
coated tongue, indicating gastritis, the following prescription 
should be given: — 

I£ Potassii bicarb, vel sodii bicarb., 3ij. 

Spt. ammonise aromatici, 3iss. 

Liq. strychninse ( P. B. ) , 3ss. 

Spt. cajuputi (B. P. ), 3iss-ij. 

Spt. chloroformi, 3j. 

Infusi calumbse vel gentianae co., 5vj. 
Misce. 

Sig.: A sixth part three times a day be- 
tween meals. 

I£ Magnesias calcinse, gr. vj. 

Sodii bicarbonatis, gr. vj. 

Sodii bromidi, gr. x. 

Bismuthi subnitratis, gr. ij. 
Misce et fiant chartulae no. j. 
Sig.: One such before meals. 
Indication: Useful in acute catarrhal gas- 
tritis to stop fermentation. 

B. Saloli, 3j. 

Bismuthi subnitratis, 3iv. 
Tinct. opii camphoratse, f3iij. 
Tinct. zingiberis, f3iij. 
Misturse cretse, q. s. ad f§iij. 

Misce. 

Sig.: Two teaspoonfuls every three hours 
until the stools are formed, then one teaspoon- 
ful thrice daily. 

Indication: Good in acute gastro-enteritis. 



Hand-Book of Modern Treatment. 205 



R Sodii bicarbonatis, 3ij. 

Tinct. gentianse comp., 3iv. 

Eiixiris aromat., q. s. ad §ij- 
Misce. 

Sig. : One teaspoonf ul in water after meals. 
Indication: Useful in acute condition for 
children. 

R Tinct. nucis vomicae, 3j. 

Tinct. physostigmatis, 3j. 

Tinct. belladonnas, 3j. 
Sig. : Fifteen minims twice daily in water. 
Indication: Useful in acute gastritis with, 
flatulence. 

R Bismuthi subnitratis, 3iij. 

Zinci sulphocarbolatis, gr. xij. 

Tinct. hyoscyami, 3iij. 

Glycerini, 3iv. 

Aquae, q. s. ad §iij. 
Misce. 

Sig. : One teaspoonful every four hours. 
Indication: Useful in gastro-enteritis. 



GASTRITIS, CHRONIC. 

In chronic alcoholism or delirium tremens, piscidia will 
prove its worth. The following combination has given good 
results : — 

R Fluidextracti piscidias, f3v-f§j. 

Fluidextracti erythroxylon cocas, f3iv. 
Fluidextracti hyoscyami, f3j. 
Tinct. capsici, m xxx. 
Spts. aetheris comp., q. s. ad f§ij. 
Misce. 

Sig.: One or two teaspoonfuls every hour 
or two until sleep is secured; afterward one 
teaspoonful every three or four hours till the 
nervous system resumes its normal condition. 

R Argent! nitratis, gr. x. 
Aquae menthae pip., f§v. 
Misce. 
Sig.: One teaspoonful one hour before meals. 



206 Eand-Book of Modern Treatment. 

I£ Bismuthi subcarb., 3ij. 
Magnes. usta, 3ij. 

Misce et fiant chartulae no. xv. 
Sig. : One powder after eating. 
Indication: If hydrochloric acid does not 
agree this is good. 

B Pepsini (scale), 3ij. 

Aeidi hydrochlor. diluti, f3iv. 

Aquae, q. s. ad f^viij. 
Misce. 

Sig.: One teaspoonful in water after meals. 
Indication: Useful to assist feeble digestion. 

IJ Sodii bicarbonatis, 3iij. 

Tinct. gentianae comp., q. s. ad fgiv. 
Misce. 

Sig.: One teaspoonful after meals. 
Indication : Useful during convalescence. 

I£ Oleoresini capsici, gr. x. 

Pancreatin, gr. xx. 

Pulv. zingiberis, gr. lx. 

Pulv. carbonis lignis, gr. lx. 
Misce et fiant pilules no. xx. 
Sig. : One or two t.i.d. 

Indication: Very good in atonic or subacute 
gastric catarrh accompanied with much belch- 



IJ Argenti nitratis, gr. v. 
Ext. hyoscyami, gr. x. 
Misce et fiant pilulse no. xx. 
Sig. : One pill one-half-hour before each 
meal. 

1$, Sodii bicarbonatis, gij. 
Tinct. nucis vomicae, Bss. 
Aquae, q. s. ad §iij. 

Misce. 

Sig. : One teaspoonful after meals. 
Indication: Useful in subacute gastric ca- 
tarrh. 



Hand-Book of Modem Treatment. 207 

GASTRIC ULCER. 

In gastric ulcer Cohnheim has long relied on olive-oil as an 
adjunct in treatment. He believes that it relieves pain, lubri- 
cates surfaces of ulcers or fissures, reduces hyperacidity, and acts 
as an easily digested food. In employing olive-oil one should 
take precautions to make sure that the oil is pure, as in com- 
merce it is commonly adulterated to a large extent with cotton- 
seed-oil, a body whose therapeutic and nutritive qualities have 
not been fully examined. 

Sir Lauder Brunton states that he can stop the pain in a 
large percentage of cases by the administration of sodium bi- 
carbonate. He instructs the patient to dissolve one teaspoonful 
of the soda and slowly sip the solution until it is gone. He 
thinks it better to dissolve the soda in lime-water, flavoring it 
with some of the mint waters. His reason for using lime-water 
is that the sodium bicarbonate in plain water might soften the 
tissues to a great degree and thus predispose to haemorrhage. 
To lessen the constipation caused by the lime, fluid magnesia 
may be given in conjunction with the soda : — 

I£ Spts. menthse pip., 3iss. 
Cretse prep., 3ss. 
Mag. carb. calcined, 3j. 
Sod. bicarb., 3j. 
Misce. 

Sig. : One teaspoonful should be stirred in 
a half tumbler of water and slowly sipped until 
the pain is relieved. 

I£ Fluidextracti condurango, §ss. 

Acidi hydrochlorici, 3ij. 

Tinct. gentianae comp., §iss. 

Aquae, q. s. ad §iij. 
Misce. 

Sig. : One teaspoonful after meals. 
Indication: Useful in gastric cancer. 

B Argenti nitratis, gr. v. 

Extracti hyoscyami, gr. x. 
Misce et fiant pilulae no. xx. 
Sig. : One pill one hour before meals. 



208 Hand-Book of Modern Treatment. 

I£ Chloretan, 3ij. 

Fiant pilulse no. xxx. 

Sig. : One pill four times daily. 

Indication: Good when pain is present. 

P* Bismuthi subnitratis, 3ij. 

Morphinse, gr. iv. 
Misce et fiant chartulse no. xij. 
Sig. : One powder three times daily or as 
often as necessary to relieve pain. 

P* Olei terebinthinae, f3ij. 

Pone in capsulas no. xij. 

Sig. : One capsule every six hours. 

Indication: Good to prevent haemorrhage. 

P* Phenolis, gr. xx. 

Bismuthi subnitratis, 3j. 
Misce et fiant chartulse no. xxiv. 
Sig. : One powder three times daily. 

P* Fluidextracti condurango, £3vj. 

Acidi hydrochlorici diluti, f3iv. 

Tinct. gentianse comp., §iss. 

Aquae, q. s. ad §iij. 
Misce. 

Sig. : Teaspoonful after meals. 
Indication : Useful in severe pain due to 
gastric cancer. 

GINGIVITIS (INFLAMMATION OF THE GUMS), 

IJ Saloli, gr. xv. 

Spts. menth. pip., 3x. 

Tinct. catechu, 3j. 
Misce. 

Sig. : One teaspoonful in half a glass of 
warm water as a mouth wash. 

P* Acidi carbolici, gr. xx. 

Potassii chloratis, gr. xx. 

Syrupi, gj. 

Aquae camphorae, Siij- 
Misce. 

Sig. : One dessertspoonful as a mouth wash 
diluted in half a glass of water. 



Hand-Book of Modem Treatment. 209 

Lance the gums: — 

(1) When a tooth is very near the surface, to spare need- 
less suffering. (2) When the gums are very red, hot, and 
swelled. (3) When the child has been feverish for a week or 
two and the tooth does not seem to advance, although the gum 
is tense and swelled. (4) When, during the progress of teeth- 
ing, a child is suddenly seized with convulsions for which there 
is no obvious cause. The irritation of the teeth may be the real 
cause; and the chance of relieving it by so simple a means is 
not to be thrown away. If the process of teething is going on 
quite naturally, no interference, medical or other, is necessary 
or proper. 

GLANDS, ENLARGED AND INFLAMED. 

I£ Syr. ferri iodidi, 3j- 

Sig. : Five to ten drops in water after meals. 

Indication: Useful in scrofula and anaemia. 

I£ Ichthyoli, 3j. 

Ung. hydrarg., 3j. 

Ung. belladonnas, 3j. 

Ung. petrolati, 3vj. 
Misce. 

Sig.: Apply locally night and morning. 
Indication: Where surgical interference is 
unadvisable in enlarged glands this is splendid. 

B Emulsi olei morrhuae, §xvj. 

Sig. : One teaspoonful in milk and increase, 
given one hour after meals. 

Indication: Useful in anaemic and scroiu- 
lous patients. 

Ifc Tinct. iodi, fgj. 
Sig. : Paint over gland. 

Indication: In earliest stages of inflamma- 
tion or in chronic enlargement. 

I£ Phenolis, 2 per cent. sol. 

Sig.: Inject ten drops into gland with a 
hypodermic syringe. 

Indication: Useful when gland threatens 
suppuration. 

14 



210 Hand-Book of Modem Treatment. 

IJ Liq. plumbi subacetatis, 3j. 
Tinct. opii, 5j- 

Misce. 

Sig.: Add one pint of water and apply 
freely on soft cloth. 

Indication: Useful in early stage to abort 
inflammation. 



IJ Caleii sulphuratae, gr. ij. 

Pone in granulas no. xx. 

Sig. : One every three hours. 

Indication: Useful to prevent suppuration. 



GLAUCOMA. 

IJ Eserinae sulphatis, gr. j. 

Aquae destillatae, f 5j- 
Sig. : One drop in eye every three hours. 
Indication: Useful in acute attack. 

IJ Pilocarpines hydrochlor., gr. ij. 

Aquae, 3j. 
Sig. : One drop in eye once daily. 
Indication: Useful when operation is de- 
layed. 



GLOTTIS (EDEMA. 

IJ Aluminis, gr. lxv. 

Tannin, gr. lxv. 

Extracti krameriae, 3iiss. 

Aquae, Oj. 
Misce. 

Sig.: Used as a spray in the throat five or 
six times daily. 



GOITER. 

Eoy gives the following plan: — 

First, in the case of each goiterous patient the author ad- 
vised him, if possible, to leave the affected circle, and if not, he 
was advised to take his drinking water after boiling. 



Hand-Book of Modem Treatment. 211 

Much good result was obtained with the use internally of 
any preparation of iodine with thyroid or thymus gland extract. 
The author prescribed internally: — 

3. Potassii iodidi, gr. v. 
Syrupi ferri iodidi, 3ss. 
Spiritus ammoniae aromatici, m xv. 
Liquor, thyroide.se, m v. 
Aquae, q. s. ad §j. 

Misce. 

Sig. : This dose three times a day. 

The dose of potassium iodide was raised gradually from 15 
grains to 1 drachm daily, if the patient did not show any dis- 
tinct signs of improvement in a few weekg. He also prescribed 
tincture of iodine, 5 to 15 minims, three to four times a day, 
administered in a capsule. 

Ifc Iodoformi, gr. cxx. 

Pulv. ferri reduct., gr. xl. 

Ext. gentian., q. s. 
Misce et fiant massa in pil. no. xl div. 
Sig. : One pill three times daily after meals. 

IJ Iodoformi, gr. cxij. 
Collodii, 3iv. 

Misce. 

Sig. : Shake well ; paint on swelling night 
and morning. Should the skin become too sen- 
sitive and sore, omit for a day or two, then re- 
sume the painting once daily at bed time. 

For the nervous, irritable, and sleepless condition the follow- 
ing is recommended: — 

I£ Sodii bromidi, gr. ij. 

Potassii bromidi, gr. ij. 

Amnion, bromidi, gr. ij. 

Liq. potassii arsenitis, m ij. 

Tinct. nucis vomicae, m iv. 

Aquae camphorae, q. s. ad 3j. 
Misce. 

Sig. : Give half an ounce of such a solution 
well diluted three to four times a day. 



212 Hand-Book of Modern Treatment. 

The following formula has also been recommended for ex- 
ophthalmic goiter with irregular and rapid heart and nervous- 
ness : — 

I£ Potassii bromidi, 3ij. 

Infusi digitalis, q. s. ad Sviij. 
Misce. 

Sig. : Tablespoonful in water every six 
hours. 

Indication: Useful in exophthalmic goiter. 

William Cuthbertson says that the different forms of treat- 
ment of the various tumors of the thyroid gland are about as 
numerous as the writers on the subject. With the exception 
of the surgical cases, the treatment of goiter seemed to have 
been purely empirical, no definite classification, with its appro- 
priate treatment, apparently having been attempted, with the 
exception of the iodides and iodine having been recognized as 
specifics. Cuthbertson found in one case that hydrastis 
proved efficacious in effecting a cure in a goiter of preg- 
nancy, and this led him to the investigations which he has 
detailed. In each case of twenty-five cases of goiter of puberty 
and pregnancy which came under his care, a cure was effecte~d 
in from six weeks to three months by the administration of 
hydrastis Canadensis, three times daily, after eating. He was 
well aware that some of these cases might have got well with- 
out treatment, but he made no selection of them, taking them 
as they presented themselves. One of the cases which was cured 
by this means had been treated with iodine and the iodides and 
with thyroid extract, becoming much worse under both forms of 
treatment. Immediately on instituting the hydrastis treatment 
the patient began to improve and was cured in six weeks. He 
presented hydrastis Canadensis as a new and successful remedy 
in the goiter of puberty and pregnancy. 

I£ Hydrarg. iodidi rubri, gr. xx. 
Atropinse, gr. j. 
Adipis, §j. 
Misce. 

Sig.: Apply with a spatula made of soft 
wood, by rubbing the salve well into the skin; 
after which expose the part to the sun during 
twenty to thirty minutes so as to drive the 
remedy well in. 



Hand-Book of Modern Treatment. 213 

The remedy, when applied, will smart for a short time, es- 
pecially after it has caused the skin to chap or crack ; but if too 
severe the patient may omit the application two or three days, 
but should persist in the use of the remedy until cured. 

The salve should be rubbed only over the upper half of the 
goiter, as it will run down over the other portion sufficiently, 
and it is desirable not to give it over any more of the skin than 
is actually necessary. Internally give 



IJ Potassii iodidi, 3ij. 
Tinct. strophanthi, 3ij. 
Tinct. iris versicolor, 3ij. 
Elixiris aromatici, q. s. ad §iv. 
Misce. 

Sig. : A teaspoonful in water three times a 
day. Follow this up and it will give cure in 
any case of goiter in from four to ten weeks. 



I£ Iodoformi, 3j. 

Spt. aether is, §v. 
Misce. 

Sig.: Fifteen minims injected into the en- 
larged gland every second or third day. 



By this mode of treatment improvement was noted in the 
headache, polypuria, and neuralgic pains, as well as a reduction 
in the rapid heart-action and the tremor. 



Indication: Useful in exophthalmic goiter. 



R. Sodii salicylatis, 31 j. 

Ext. glycyrrhizae, Sij. 

Aquae dest., q. s. ad f§v. 
Misce. 

Sig. : Tablespoonful well diluted every three 
hours. 



214 Hand-Book of Modem Treatment. 

B Tinct. iodi, gj. 

Sig.: Apply with brush and repeat when 
skin exfoliates. 

Indication: Used in simple goiter. 

F* Glandulse suprarenalis sicca?, Siij. 

Pone in eapsulas no. xxx. 

Sig. : One or two three times daily. 

Indication: Used in exophthalmic goiter 
with lowered arterial tension and cardiac pal- 
pitation. 



1$ Glandulse thyroidese siccse, 3iij. 
Pone in eapsulas no. xxxvj. 
Sig. : One capsule three times daily. 
Indication : Used in simple hypertrophic en- 
largement of the thyroid. 



GONORRHOEA. 

I£ Zinci sulphatis, gr. xvj. 
Bismuthi subnitratis, 3iv. 
Glyceriti acidi tannici, 3iv. 
Fluidextracti hydra stis, 3iv. 
Mucilaginis acaciae, 3ij. 
Aquae, q. s. ad gvj. 
Misce. 

Sig.: Use locally two or three times daily. 
Inject two teaspoonfuls and allow to remain 
in urethra but a short time. 

Indication: This is the best injection ever 
used in acute and subacute and chronic stages 
of gonorrhoea. 



P* Iodi, gr. xv. 

Potassii iodidi, gr. xv. 

Argyrol, gr. lxxv. 

Aquae dest., q. s. ad Siij- 
Misce. 

Sig.: Inject three times daily. 
Indication: Used in acute, subacute, and 
chronic stages. 



Hand-Book of Modern Treatment. 215 

P* Copaibae para, 3iv. 
Saloli, 3iv. 

Oleoresinae cubebae, 3ij. 
Pepsini, gr. xxiv. 
Misce et pone in capsulas no. xxiv. 
Sig. : One capsule, three times daily after 
meals. 

Indication: Used in subacute and chronic 
gonorrhoea. 

P* Ung. belladonnas, 3j. 

Ichthyoli, 3j. 

Ung. hydrargyri, 3ij. 

Petrolati, q. s. ad §j. 
Misce. 

Sig. : Apply externally. 

Indication: Used as triple ointment for 
bubo. 

The treatment proper is given in the following manner: 
After the patient empties his bladder completely the urethra is 
irrigated with a hot solution of potassic permanganate, about 1 
to 3000. For this purpose use the Valentine irrigator, though, 
if nothing better is at hand, the urethra may be flushed out sev- 
eral times with the ordinary rubber-tipped hand-syringe. The 
packer is then dipped in a bottle of the solution used on the 
dressing, or glycerine may be used instead, after which the penis 
is grasped with the fingers of one hand and the packer intro- 
duced slowly and carefully into the urethra with the other hand. 
It is passed back about four inches in anterior gonorrhoea, and 
back to the neck of the bladder in posterior gonorrhoea and pros- 
tatic troubles. Force is never used in introducing the packer. 
The urethra is then lightly packed with one-inch continuous 
gauze strips, or, better, a loosely-spun cotton cord, saturated with 
one of the following solutions : — 

P* Iodoformi, gr. xcv. 

Balsami peruviani, 3iv. 
Olei ricini, q. s. ad %iv. 
Sig. : Rub iodoform in castor oil, then add 
balsam of Peru. You will notice that the odor 
of iodoform is practically masked in this solu- 
tion. 



216 Hand-Book of Modern Treatment. 

I£ Ichthyoli, gr. xl. 

Resorcini, gr. xl. 

Balsami peruviani, 3iv. 

Olei ricini, q. s. ad £iv. 
Misce et fiat solutio. 



The instrument is gradually withdrawn as the dressing is 
pushed through, and when it emerges from the meatus the cord 
dressing is clipped with scissors, leaving about one-eighth inch 
of the cord outside of the meatus, which can be taken between 
the fingers when the cord is to be removed. A small piece of 
cotton is placed over the head of the penis and treatment is 
complete. The patient is now instructed to go as long as he 
possibly can before urinating, when the cord is slowly removed. 

Use the following liniment from the beginning. Its action 
is exceedingly rapid and effective : — 



I£ Ammonii chloridi, 3ij. 
Potassii iodidi, 3ij. 
Alcoholis, fSij. 
Aquae dest., f§ij. 
Misce. 

Sig. : Apply with a small camel's-hair brush 
four times daily. 

Indication: Useful in gonorrhoeal epididy- 
mitis. 



I£ Guaiacoli, 3ij. 

Lanolini, 3iij. 

Resorcini, 3iij. 
Misce et fiat unguentum. 
Sig. : Apply locally on gauze. 
Indication: Useful in gonorrhoeal epididy- 
mitis. 



The following prescription is a most excellent, efficient, and 
bland antiphlogistic, possessing powerful properties in the sup- 
pression of the discharge, which it will almost invariably check 
in three days without any untoward symptoms whatever : — 



Hand-Book of Modern Treatment. 217 

IJ Colorless hydrastis, Siij- 

Potassii chloratis, gr. xx. 

Or sol. sat. 

Aquae, q. s. fgiv. 
Misce. 

Sig. : Inject a small syringeful four times 
daily. 

1^ Tinet. aconiti, 3j. 

Tinct. gelsemii, 3ij. 

Antipyrini, 3ij. 

Fluidextracti ergotae, £j- 

Aquae, q. s. ad §vj. 
Misce. 

Sig. : A dessertspoonful every two or three 
hours in a wineglassful of water. 

Indication: Useful in prostatic pain follow- 
ing gonorrhoea. 

The latest thing which is vouched for as a sure destroyer of 
the gonococcus is picric acid. It is claimed by those who have 
used this method that it exerts almost a specific action in 
chronic urethritis. In using the remedy, a solution of from 1 
to 2 per cent, is employed, and it is always used by instillation. 
The soft or hard catheter is introduced into the urethra as far 
as the cut-off muscle, and the injection is slowly made until the 
fluid flows from the anterior urethra. It is claimed that many 
cases have yielded to this treatment that have resisted protargol, 
nitrate of silver, and permanganate of potassium. 

IJ Acidi borici, 3iss. 

Tinct. iodi, 3ij. 

Glyeerini, §j. 

Aquae dest., 5iv. 
Misce. 

Sig. : Use as an injection morning and even- 
ing. 

DIAGNOSIS OF GONORRHEAL VAGINITIS. 

It is said that the pus of gonorrhoea! vaginitis is always 
alkaline. If for any reason a microscopical examination can- 
not be made, the use of a strip of litmus paper will, therefore, 
give a fairly accurate decision. 



218 Hand-Book of Modern Treatment. 

Hirsch reports the prompt cure of a threatening case of 
gonorrhceal inflammation of one eye from auto-infection. He 
commends the technique following as promising surprising re- 
sults for such cases. He made a single subcutaneous injection 
of a 1 to 5000 solution of hydrargyrum oxycyanate to which a 
little acoin had been added. There was considerable irritative 
reaction, but the process was arrested and three days later the 
cure was completed by a repetition of the injection. 

Ifc Methyl salicylatis, 3ss. 
Petrolati, 3v. 

Misce. 

Sig. : Give warm baths, copious draughts 
of Vichy water, and anoint the penis with this 
ointment. Then apply a thin layer of wadding 
to the member, and cover the whole with adhe- 
sive taffeta. 

An editorial in the Journal of the American Medical Asso- 
ciation says that Popper was led to make urethral injections of 
a solution of nitric acid in order to avoid the generation of heat 
caused by the chemical decomposition of silver nitrate. Cocaine 
or eucaine may be added to the solution for anaesthetic purposes. 
In cases of acute gonorrhceal urethritis a 10- or 15-per-cent. 
solution of pure concentrated nitric acid was injected from 
three to five times daily, the fluid being permitted to remain in 
the urethra for one or two minutes. In the course of from 
twenty-four to forty-eight hours the character of the copious 
discharge will have changed. The urine becomes clear, and 
contains only fibers. The secretion is viscid and considerably 
diminished. In the course of five or six days at times only a 
small drop can be expressed; later only in the morning. In 
the course of a week in most instances the discharge is even 
still less. The gonococci also rapidly diminish in number in 
the course of a day, and disappear wholly in from five to eight 
days. For three or four days after the gonococci have no longer 
been demonstrable the injections are made but twice a day, and 
then but once a day. After from twelve to fourteen days as- 
tringents are prescribed for the purpose of causing the disappear- 
ance of any filaments that may yet be present. If the discharge 



Hand-Book of Modern Treatment. 219 

is not increased following a seminal emission, or gonococci do 
not appear, the injections are gradually discontinued; so that 
the treatment shall be concluded in from fifteen to thirty days. 
In chronic cases or in the presence of posterior urethritis, a 
25-per-cent. solution of nitric acid is injected once daily by 
means of Guyon's syringe. 

S. Chandler, Philadelphia, advocates the use of lactic acid 
for the treatment of gonorrhoea of the cervix as preferable to 
other methods. He has employed it in 34 cases, which are tabu- 
lated. His method is as follows: Cleanse the vagina and cer- 
vix thoroughly with warm water and cotton soaked in a water 
solution (4 to 6 ounces) of pyroligneous acid. Expose the cer- 
vix by drawing it downward and into view by an ordinary long 
tenaculum; then take an ordinary hypodermic syringe loaded 
with pure lactic acid, and inject just beneath the membrane a 
few drops of the acid. Continue this until the whole of the 
cervix is exposed as the superior and inferior lip is injected. It 
may be done at one sitting or, in a nervous case, if desired, in 
two or three sittings. He concludes from his experience with 
this and other methods that lactic acid cures gonorrhoea, has no 
ill effects, and prevents the spread of the disease into the body 
of the uterus if used sufficiently early. Ordinary douches and 
painting of the cervix give only temporary relief; it is better to 
destroy the cervical glands, and this should be done as soon as a 
positive diagnosis is secured. Both the discharges and the cervi- 
cal membrane should be examined before excluding gonococci, 
which are the cause of most chronic discharges. This method of 
injecting the cervical glands with lactic acid, he believes, is the 
best prophylactic against future disease of the tubes, etc. A 
too deep injection of the lactic acid may cause an annoying, 
though not a dangerous, slough, lessening the good result. 
Caution against this is, therefore, advisable. 

Johannes von Tiling has secured excellent results from 
Bier's method of damming back the circulation with elastic 
bands in several painful cases of gonorrhoeal arthritis. He 
advises the use of a thin, pliant rubber bandage, which should 
be applied so as not to cause discomfort, but sufficient to pro- 
duce very perceptible hypereemia. Blueness and coldness of the 
limb, white or vermillion spots, and pain or paraesthesia indi- 



220 Hand-Book of Modern Treatment. 

cate that the bandage is too tight and should be loosened. 
Properly applied, the most marked first effect is relief of pain, 
but this is not all; damming, he claims, has a bactericidal ef- 
fect, and dissolves away the adhesions, which are completely 
removed by massage after the removal of the bandage. At first 
the bandaging should be of short duration, a few hours at a 
time, but later it should be increased until it reaches ten hours 
a day and ten hours at night. After removal of the bandage, 
massage lightly, then have the patient stand and move the 
joints. He claims that this method gives better results in most 
cases of gonorrhoea! arthritis tending to stiffness of the joints 
than any other. 

IJ Aeidi carbolici, gr. x. 
Iodi, gr. v. 
Olei olivae, 3ss. 
Lanolini, q. s. ad %]. 
Misce et fiat unguentum. 
Sig. : To be used, with or without prelimi- 
nary irrigations, by means of a Guyon catheter 
syringe, or a small silver tube with a short ter- 
minal curve screwed on to a hypodermic syr- 
inge, passed through the compressor muscle 
into the posterior urethra. The instillations 
may be performed every second, third, or fourth 
day, according to the strength of the ointment 
used, immediately after an irrigation. 

fy Zinci sulphatis, gr. xij. 
Aquae rosae, §iij. 
Aquae dest., §vj. 
Misce. 

Sig.: Inject in terminal stage when few 
shreds are passed in morning or there is pres- 
ent a little irritation in the fossa navicularis. 

I£ Copaibae para, 3ij. 

Olei santali, 3ij. 

Olei cinnamomi. m xxiv. 

Saloli, 3ij. 
Misce et fiant capsulae no. xxiv. 
Sig. : One after each meal. 



Hand-Book of Modern Treatment. 221 

IJ Sodii bromidi, 3iv. 

Tinct. belladonnas, gtt. xx. 
Liq. potassii hydroxidi, f3ij. 
Tinct. opii camphoratse, 3iv. 
Syrupi zingiberis, §ij. 
Aquae dest., q. s. ad 3vj. 
Misce. 

Sig. : Teaspoonful three times daily one 
hour after meals. 

Indication: Useful in nervous genito-uri- 
nary cases. 

B Argyrol, 3vj. 

Aquae dest., f^v. 

Misce. 

Sig. : Inject once or twice daily and retain 
for ten to fifteen minutes. Allow to escape 
and inject again and retain for some time. Use 
this for one week and follow with milder injec- 
tions. 

GOUT. 

IJ Potassii iodidi, 3ij. 

Potassii bicarb., 3vj. 

Vini colchici, 3ij. 

Aquae camphorae, ^xij. 
Misce et fiat mistura. 

Sig. : One tablespoonful three times a day, 
after meals, in a wineglassful of water. 

P£ Tinct. seminis colchici, §ss. 
Tinct. aconiti rad., £ss. 
Tinct. guaiaci, Sss. 
Elix. simplicis, 3ss. 

Misce. 

Sig.: One-half a teaspoonful in water after 
meals. 

The following combination is recommended, administered 
in the form of pills : — 

IJ Ext. colchici acetici, gr. xv. 

Ext. colocynth. comp. (B. P.)., gr. xviij. 

Pulv. ipecac, comp., gr. xviij. 
Misce et fiant pilulse no. xij. 
Sig. : One pill night and morning. 



222 Hand-Booh of Modern Treatment. 

IJ Ext. colchici acetici, gr. vj. 

Ext. rhei, gr. v. 

Ext. aloes soc v gr. v. 

Ext. belladonnas, gr. j. 
Misce et fiant pilulse no. vj. 
Sig. : One pill twice a week at bed time. 

IJ Tinct. stramonii, f3j. 
Tinet. colchici, f3iss. 
Tinct. guaiaci, fgij. 
Misce. 

Sig. : A teaspoonful three times a day in 
milk. 

I£ Vini colchici, f^ss. 

Magnesii carbon., 3ij. 

Potassii bicarb., 3ij. 

Aquse menthse pip., f£vj. 
Misce. 
Sig. : A tablespoonful every four hours. 

I£ Potassii bicarb., 3ix. , 
Potassii nitritis, 3vj. 
Sodii nitritis, gr. j. 
Misce et fiant chartulse no. xx. 
Sig.: One in the morning in a large glass 
of water. 

Indication: Good when arterial tension is 
high. 

1$. Tinct. aconiti rad., 3j. 

Morphinse sulph., gr. ij. 

Antimonii tartarati, gr. j. 

Syr. zingiberis, §ss. 

Aqua% q. s. ad Sij- 
Misce et fiat mistura. 

Sig. : One teaspoonful every three hours in 
water. 

B Lithii bromidi, §j. 

Vini colchici radicis, §j. 

Syr. tolutani, 3j. 

Sol. potassii citratis, %iv. 
Misce. 

Sig. : One teaspoonful well diluted in water 
after each meal. 

Indication: Useful in chronic gout. 



Hand-BooJc of Modem Treatment. 223 



IJ Lithii benzoatis, 3ss. 

Sodii broin., 3ij. 

Potassii carb., 3ij. 

Potassii acetatis, §iss. 

Sodii phos., §ss. 

Syr. zingiberis, §vj. 

Aquas menth. pip., §vj. 
Misce. 

Sig. : One teaspoonful to a tablespoonful in 
half a glass of water every four or six hours 
after eating. 

Indication: Useful in gout and rheumatism. 

I£ Colchicine salicylatis, gr. ss. 

Phenacetini, 3ij. 
Misce et pone in capsulas no. xlviij. 
Sig.: One capsule every four hours. 
Indication: Used to relieve pain in acute 
and subacute gout. 

I£ Morphinse hydrochlor., gr. x. 
Linimenti belladonna^ §iij. 

Misce et fiat linimentum. 

Sig. : A teaspoonful mixed with a table- 
spoonful of hot water and applied on lint under 
oil silk every four hours. 



B Atropine, gr. iij. 

Morphinse hydrochlor., gr. xv. 

Acidi oleici, §j. 
Misce et fiat linimentum. 
Sig. : To be painted over the painful part 
and the joint wrapped in cotton wool. 

For external application : — 

Ifc 01. gaultherise, f3ij. 

01. olivse, f3ij. 

Lini. saponis, f3ij. 

Tinct. aconiti, f3ij 

Tinct. opii, f3ij. 
Misce. 

Sig. : Apply freely and cover with cotton 
batting. 



224 Hand-BooJc of Modem Treatment. 

IJ Potassii iodidi, f3ss. 

Linimenti saponis, f3ss. 

01. cajuputi, f3ss. 

01. carui, f3ss. 

Spirit, vini rectif., q. s. f^vij. 
Misce. 

Sig. : Apply on lint and cover with pro- 
tective. 

IJ Guaiacoli, 3 SS - 

Olei gaultherise, §ss. 
Olei olivse, §ij. 
Misce. 

Guaiacol is readily absorbed by the skin and 
is said to reduce the temperature. A more ele- 
gant mixture, however is: — 

B Mentholis, £j. 
Alcoholis, giv. 
Glycerini, l\. 
Aquae laurocerasi, gj. 

Misce. 

Indication: Useful as local application. 



KflEMATEMESIS. 

I£ Ergotse, gr. xlv. 

Fluidextracti hydrastis, gr. xlv. 

Kramer iae syrupi, 3vj. 

Aquae dest., £iv. 
Misce. 

Sig. : A dessertspoonful every quarter of an 
hour and later every half-hour or hour. 

I£ Liquoris ferri subsuiphatis, 3ij. 
Sig.: Ten to twenty drops in two. table- 
spoonfuls of water three times daily. 

1$ Olei terebinthinae, §ss. 

Sig. : Five to ten minims three or four times 
daily. 

R. Morphinae sulphatis. 

Sig. : One quarter of a grain hypodermically 
when needed. 

Indication: To allay mental distress. 



Eand-Book of Modem Treatment. 225 

ADRENALIN" IN GASTRIC HEMORRHAGE. 

Dr. S. S. Halderman describes the satisfactory treatment of 
a case. The patient was a man 65 years of age. The condition 
of the patient was most serious. He was in a cold, clammy 
perspiration, radial pulse imperceptible, and with every appear- 
ance of impending dissolution. He was given 10-drop doses of 
solution adrenalin chloride every half hour to one hour until 
he had taken 1 drachm of the solution. The vomiting and 
haemorrhage soon stopped, and for three weeks rectal alimenta- 
tion was depended upon; also every day he was given, per rec- 
tum, 1 pint of normal salt solution, with instructions to retain 
it if possible, which was usually done. After three weeks he 
was allowed milk and bread, and has now resumed his usual diet 
and appears in better -health than for a year. 

R, Tinct. hydrastis, 3iij. 
Tinct. viburni, 3iij. 
Tinct. hamamelidis, 3vj. 
Tinct. castanese (chestnut), 5vj. 
Misce. 

Sig. : Take fifteen to twenty drops each 
meal in sweetened water. 

Indication: To control haemorrhage from 
any cause. 

1$. Fluidextracti ergotse. 

Sig.: Twenty minims hypodermically and 
repeat several times if necessary. 

Chloride of calcium, in doses of 8 to 16 grains, every two 
to four hours, should be tried in all forms of persistent haemor- 
rhage, especially haemoptysis, haematuria, and intestinal haemor- 
rhage of typhoid fever, for this salt increases the coagulability of 
the blood. It should be remembered, however, that this drug 
should not be used more than three days continuously, for its 
prolonged use decreases the coagulability of the blood. 

Dr. Arendt calls attention to a new method of controlling 
post-partum haemorrhage. He seizes the cervix with a bullet or 
volsella forceps and draws it down to the vulva. This kinks 
the afferent vessels, and so stops or lessens the flow of blood 
through them. Uterine action is excited by alternate traction 

15 



226 Hand-Book of Modern Treatment. 

and relaxation. He believes that tamponing of the uterus is 
effective mainly because of the incidental pulling down of the 
uterus. 

W. Coleman treated five cases of intestinal haemorrhage 
with adrenal substance. Four patients recovered, although in 
two of them the haemorrhage was very severe. The fifth patient 
died of toxaemia and exhaustion several days later, and not of 
haemorrhage. He advises the free use of adrenal substance, and 
gives 15 grains every two hours during the day and every four 
hours during the night, gradually diminishing the dose as re- 
quired. 

HEMATURIA. 

IJ Acidi gallici, 3j. 

Acidi sulphurici diluti, f3ij. 

Aquae dest., q. s. ad f^iij. 
Misce. 

Sig. : Teaspoonful in water every four 
hours. 

IJ Fluidextracti ergotae, gij- 
Sig. : One teaspoonful three times daily 
when bleeding is from prostate or urethra. 

B Adrenalini chloridi (1-1000), Sj. 

Aquse, q. s. ad §v. 
Sig. : Inject in urethra one teaspoonful 
three times daily. 

IJ Sodii thiosulphatis, £ij. 
Sig. : One teaspoonful every two hours until 
free purgation takes place. 

IJ Calcii chloridi, 3j. 

Aquae, §iss. 
Misce. 

Sig.: One teaspoonful four times daily for 
three days. 

IJ Aluminis, gr. xxxij. 
Aquae, Oj. 

Misce. 

Sig.: Inject four ounces into the bladder 
twice daily. 



Hand-Book of Modern Treatment. 227 



HAEMOPTYSIS. 

B Extracti ergotae, gr. xxx. 

Pulv. digitalis foliorum, gr. xx. 

Extracti hyoscyami, gr. xx. 

Quinine sulphatis, gr. xxx. 
Misce et fiant pilulae no. xx. 
Sig. : Three to five pills may be taken daily. 

I£ Liquoris ferri subsulphatis, gtt. xx. 

Aquae dest., f^iv. 
Misce. 

Sig. : Use in an atomizer every few minutes 
as a spray. 

I£ Potassii bromidi, 3ij. 
Chloralis, 3j. 
Syrupi acacias, 3iv. 
Aquae, q. s. ad Sij- 
Misce. 

Sig. : Two teaspoonfuls in water at once, 
and then one teaspoonful every hour until the 
patient becomes quiet. 

Indication: To be used if heart is rapid, 
strong, and patient is excited. Ice-bag or coil 
on chest. 

R, Tinct. aconiti, m iv. 
Aquae, gj. 

Misce. 

Sig. : Teaspoonful every hour until pulse 
becomes quiet and compressible. 

Indication: Used to quiet excited, overact- 
ing heart. 

B Acidi tannici, gr. xx. 
Glycerini, 3ij. 
Aquae dest., ad ^ii j. 

I£ Aluminis, gr. vj. 
Aquae dest., Siij. 
Indication: Useful as a spray if haemor- 
rhage is just beginning. 



228 Hand-Book of Modern Treatment. 

P* Fluidextracti hydrastis, 3iv. 
Tinct. hydrastis canadensis, Siv. 

Misce. 

Sig. : From twenty to fifty drops to be taken 
three times daily. When the haemoptysis is 
arrested the treatment should be continued for 
two or three days, and the dose then rapidly 
reduced to cessation. 

Should obstinate cough prevent the haemo- 
static effect, morphine or codeine should be 
added, in the following proportions: To the 
foregoing prescription add from 4% to 7% 
grains of codeine, or from 2*4 to 4% grains of 
morphine. The same dose should be given as 
before. 

P* Plumbi acetatis, gr. viij. 
Pulveris opii, gr. j. 

Misce et fiant chartulse no. iv. 
Sig. : One powder every two hours to quiet 
nervous and excited patient. 

P* Calcii chloridi, gr. lx-3j. 
Syr. menthae pip., 3j. 
Aquse dest., §iij. 
Misce. 

Sig. : To be taken in twenty-four hours, a 
tablespoonful every two hours, and this may be 
renewed on the following day; and if the kid- 
neys act properly may be continued for a con- 
siderable time. 



HAIR TONIC. 

Shampoo with tar soap ten minutes; then wash and dry 
the scalp and apply: — 

P* Hydrarg. chloridi corrosivi, gr. vij. 
Glycerini, 3j. 
Aquae, §v. 
Misce. 

Sig.: Apply after adding a %-per-cent. so- 
lution of naphthol in absolute alcohol; then 
apply 



Hand-Boole of Modem Treatment. 229 



B Acidi salcylatis, gr. xxx. 

Tinct. benzoini, 3j. 

Olei olivse, 5iij- 
Indication: Useful in parasitic alopecia. 

I£ Sulphuris praecipitatis, 3ij. 

Pulv. camphorae, gr. x. 

Tinct. cantharidis, 3ij. 

Resorcini, gr. xx. 

Olei myrciae, gtt. x. 

Alcoholis, q. s. ad §ij. 
Misce. 

Sig. : Use once daily — well rubbed on. 
Indication: Useful in alopecia, secondary 
and non-parasitic. 

IJ Tinct. cantharidis, 3ij. 
Tinct. capsici, 3iv. 
Olei ricini, 3ss. 
Alcoholis, q. s. ad %iv. 

Misce. 

Sig. : Apply once daily as a stimulant. 



HAY FEVER. 

ADRENALIN IN HAY FEVER. 

There is increasing evidence that adrenalin fully meets the 
indications as a remedial agent in hay fever. It controls the 
nasal discharge, allays congestion of the mucous membranes, and 
in that manner reduces the swelling of the turbinal tissues. As 
the nasal obstruction disappears, natural breathing is materially 
aided and the ungovernable desire to sneeze is mitigated. In 
short, a season of comparative comfort takes the place of the 
former condition of distress and unrest. Adrenalin blanches the 
mucous membrane by vigorously contracting the capillaries, and 
thus reduces local turgescence. It strengthens the heart and 
overcomes the sense of malaise so frequently a prominent feat- 
ure in cases of long standing. 

In the treatment of hay fever the solution of adrenalin 
chloride should be used. This preparation is supplied in the 
strength of 1 part adrenalin chloride to 1000 parts normal saline 
solution, and is preserved by the addition of 0.5 per cent, -chlore- 



230 Hand-Booh of Modem Treatment. 

tone. The 1 to 1000 solution should be diluted by the addition 
of 4 parts normal salt solution and sprayed into the nares with 
a "cocaine" atomizer. In the office the 1 to 1000 solution may 
be applied in full strength. A small pledget of cotton is 
wrapped about the end of an applicator and moistened with a 
few drops of the solution (1 to 1000). The speculum is then 
introduced, the patient's head is tilted backward in a position 
most favorable for thorough illumination by the head-mirror, 
and the visible portions of the lower and middle turbinate bodies 
and the septum are carefully and thoroughly brushed. The 
same application is made to the other nostril, when usually re- 
lief follows in a few moments. Should the benefit prove only 
partial, then the 1 to 5000 solution may now be sprayed into 
both nares, and a few drops instilled into both eyes. The effect 
of this treatment may be expected to last for several hours. 
Indeed, some physicians report that it is necessary to make but 
one thorough application daily to afford complete relief. 

It is also recommended that the solution of adrenalin chlor- 
ide be administered internally in 5- to 10-drop doses, beginning 
ten clays to two weeks prior to the expected attack. In explana- 
tion of the beneficial effect of the drug when used in this man- 
ner, the suggestion has been made that hay fever is essentially 
a neurosis, characterized by a local vasomotor paralysis, affect- 
ing the blood-supply of the eyes, nose, face, and pharynx, and 
occasionally of the laryngeal and bronchial mucous membranes. 
Adrenalin overcomes this condition, restores the normal balance 
in the local blood-pressure, and thus aids in bringing about a 
cure. The profession is to be congratulated that it has at last 
an agent that, if not a specific, fulfills the therapeutic indica- 
tions more completely and with greater satisfaction than any 
other remedial measure recorded in the history of medicine. 

This combination is of value as a prophylactic measure and 
during the attack in rheumatic patients : — 

1$, Brucinre phosphatis, gr. iij. 

Ext. hyoscyami, gr. xv. 

Quininse valerianatis, 5j. 

Camphorse, gr. xxx. 
Misce et fiant capsular no. xxx. 
Big. : One capsule four times a day. 



Hand-Booh of Modern Treatment. 231 

IJ Adrenalin chlor., gr. ss. 

Norm, saline sol., §j. 

Phenolis, m j. 

Glycerini, 3ij. 

x4.quse rosae, q. s. ad §ij. 
Sig. : Spray nose every two to three hours, 
and follow up with: — 

IJ Mentholis, gr. x. 

Cocainae, gr. x. 

Thymolis, gr. ij. 

Vaselini liq., q. s. ad Sij. 
Misce. 
Sig. : Use in an^ril atomizer. 

IJ Resorcini, gr. v. 

Adrenalin chloridi, gr. ss. 

Acidi borici, gr. xv. 

Aquae camphorae (hot), fgss. 

Glycerini, f3ss. 

Aquae destillatae, q. s. ad f^ij. 
Misce. 

Sig.: Use as a spray to eyes and nose four 
or five times a day. 

Use the following sprays in order indicated, one to three 
times daily: — 

No. l. 

IJ Sodii bicarbonatis, gr. xx. 

Sodii boratis, gr. xx. 

Glycerini, fgss. 

Phenolis (chemically pure), gr. iv. 

Aquae rosae dest., q. s. ad %\y. 
Misce. 
Sig. : Cleanse the nasal passages thoroughly. 

No. 2. 

IJ Adrenalin chloridi (1-1000), gtt. xv. 

Sodii chloridi (0.9 per cent.), gtt. xv. 
Misce. 
Sig.: Use in two applications. 



232 Hand-Book of Modern Treatment. 

No. 3. 

I£ Mentholis, gr. xx. 

Petrolati liq. (purified), $iv, 
Misce. 
Sig.: Use freely. 

IJ Terpin hydratis, gr. lxxv. 

Spt. vini gallici, f§ij. 

Syrupi lactucarii, Siij- 

Syrupi tolutani, §iij. 
Misce. 

Sig. : One or two dessertspoonfuls three or 
four times daily. 

IJ Cocainse sulphatis, gr. xij. 

Morphinse sulphatis, gr. xij. 

Bismuthi subnitratis, 3j. 
Misce. 
Sig. : Use as a snuff. 

A method of using quinine locally in typical cases of hay 
fever has proved remarkably successful. The treatment con- 
sists of the employment of a saturated solution of the quinine 
sulphate, in sterilized water, as a nasal spray, and the appli- 
cation to the mucous membrane of the nares of an ointment 
consisting of quinine and vaseline in the proportion of 30 grains 
to the ounce, the applications being made every four or six hours. 
The use of the spray alone will not suffice, but should be used 
as an adjunct to the ointment. Spraying the nares will at once 
stop all symptoms of coryza, but the effect will soon disappear 
unless followed up by the thorough application of the ointment. 

Somewhat recently the attention of the profession, chiefly 
through the writings of Bishop, of Chicago, has been directed 
to the fact that the neurotic condition of the patient and the 
hypersensitiveness of the nasal passages were often due to an 
excess of uric acid in the blood, and that this excess could be 
eliminated by the ingestion of mineral acids. 

Probably any mineral acid would prove efficacious, but there 
are two which suggest themselves as peculiarly efficacious: Hy- 
drobromic acid, because of its sedative qualities, and nitromuri- 
atic acid, because it is thought to limit the production of uric 
acid. 



Hand-Book of Modern Treatment. . 233 

A writer's experience lias been limited to the effects of nitro- 
muriatic acid, which for the past three years he has prescribed in 
doses of 3 to 5 drops of the freshly-prepared concentrated acid, 
after meals, and sometimes also at night. The dose should be 
diluted with a half -tumb erf ul of water, and the patient, after 
taking the medicine, should rinse out his mouth and swallow 
another half -tumblerful of water. 

The results of the remedy are apparent within forty-eight 
hours, and the relief of all hay fever symptoms is usually suffi- 
cient to enable the patient to remain at home and attend to his 
ordinary business engagements in comparative comfort. 

R, Orthoformi, Siij. 

Sig. : Insufflate a small quantity into each 
nostril twice daily. 



HEADACHE. 

Ifc Caffeinse citratse, gr. xv. 

Acetphenetidini, gr. xxx. 

Saccharini, gr. xv. 
Misce et fiant chartulse no. xv. 
Sig. : One every two hours until relieved. 

IJ Sodii arsenatis, gr. %. 

Ext. cannabis Indicse, gr. ij. 

Ext. belladonna^ gr. iij. 
Misce et fiant pilule no. xij. 
Sig.: One every three hours until relieved. 
Indication: Useful in headache from meno- 
pause. 

I£ Sodii arsenatis, gr. ss. 

Atropinse sulphatis, gr. %. 
Extracti aconiti, gr. iv. 
Pulveris canellae, Siij. 
Misce et fiant pilulse no. xxx. 
Sig.: One to four daily. Dose should be 
diminished if it causes dryness of throat or 
heat or tingling. 

Indication: Useful in chronic headache. 



234 Hand-Book of Modern Treatment. 

B Acidi salicylici, 3j. 

Ferri pyrophosphatis, %\. 

Sodii phosphat., gr. xij. 

Aquae destil., q. s. ad 3vj. 
Mi see. 

Sig. : One tablespoonful in water. 
Indication: Useful in gouty headache with 



B Acidi nitrici diluti, 3j. 
Aquae, £vj. 

Misce. 

Sig. : Teaspoonful in a wineglassful of 
water three times daily. 

Indication: Useful for vertical headaches 
with flushings. 

Ifc Caffeinse citratae, gr. j. 

Sodii bromidi, gr. x. 

Sodii bicarbonatis, gr. xxx. 

Pulv. acidi tartarici, gr. v. 
Misce et fiat chartula no. j. 
Sig. : Take in water while effervescing. 
Indication: Useful in neurasthenic head- 
aches associated with low vascular tension. 



B Acidi nitrohydrochlorici diluti, f3ij. 

Strych. sulphatis, gr. y±. 

Spt. chloroformi, f3vj. 

Tinct. zingiberis, f3iij. 

Aquae, q. s. ad f^iij. 
Misce. 

Sig.: One teaspoonful in water three times 
day. 
Indication: Nervous headache. 

I£ Quininae valerianatis, gr. xv. 

Ext. colchici, gr. iv. 

Ext. digitalis, gr. iv. 

Ext. aconiti, gr. ij. 
Misce et fiant pilulae no. xij. 
Sig. : One after dinner and at night. 
Indication: Useful in gouty headache. 



Hand-Book of Modern Treatment. 235 

Since there are various forms of headache, and since the 
remedy that will relieve one patient will utterly fail to relieve 
another with seemingly the same kind of head-pain, it is neces- 
sary that the physician should be armed with a variety of reme- 
dies. For some time past we have found minimum doses of 
iodide of potassium of great service in frontal headache. A 
heavy, dull headache, situated over the brow, and accompanied 
by languor, chilliness, and a feeling of general discomfort, with 
a distaste for food, which sometimes approaches to nausea, can 
generally be removed by a 2-grain dose of the potassic salt dis- 
solved in half a wineglassful of water, and this quietly sipped, 
the whole quantity being taken in about ten minutes. In many 
cases the effect of these small doses has been simply wonderful. 
A person who, a quarter of an hour before, was feeling most 
miserable and refused all food, wishing only for quietness, would 
now take a good meal and resume his wonted cheerfulness. The 
rapidity with which the iodide acts in these cases constitutes its 
great advantage. 

We make no claim of originality in the use of the remedy. 
If we mistake not, it was an Australian physician who first 
recommended it. The morbid condition here described is so very 
common we would invite others to give this remedy a trial. 

Five grains of the sulphite of soda three or four times a 
day will cure those cases of headache where the tongue is broad 
and pale and covered with a yellowish-white coat. 

R Ferri reducti, gr. c. 

Acidi arsenosi, gr. iv. 

Phosphori, gr. j. 

Ext. nucis vomicae, gr. xxv. 
Misce et fiant pilulae no. c. 
Sig. : One pill after each meal. 
Indication: Useful in anaemic headache. 



HEADACHE FROM EYESTRAIN. 

Dr. Casey A. Wood states that this form of headache is 
most frequently encountered in strain of the ciliary muscles. 
He recommends very cold or very hot compresses, gently pressed 
over the closed eyes and forehead, and advises them to be re- 



236 Rand-Book of Modern Treatment. 

peatedly changed for ten minutes, and repeated every hour while 
the headache lasts. For local application he recommends: — 

I£ Spts. camphorse, Sss. 

Spts. lavendulse, giss. 

Alcoholis, giss. 
Misce. 
Sig. : Apply locally. 



Or:— 

Ifc Camphorse, 3j. 

Tinct. aconiti, 3j. 

01. menthse pip., 3j. 

Chloroformi, 3j- 

Alcoholis, q. s. ad giij. 
Misce. 

Sig. : Shake well and apply every two or 
three hours. 



He further states that relief may be obtained by applying 
the galvanic current to the eyes, using a current-strength of 3 to 
5 milliamperes, and placing the positive pole to the nucha, and 
the negative to the closed lids, for five or six minutes. 



IJ Ammonii muriatis, %i\]. 

Tinct. belladonnse, 3j. 

Tinct. hyoscyami, 3ij. 

Aquae menthse pip., %\v. 

Aquse eamphorse, q. s. ad f-^xvj. 
Misce. 

Sig. : One-half to one teaspoonful in a little 
sweetened water every two or three hours. 

Indication: Useful in hemicrania and all 
forms of neuralgia. 

I£ Caffeinse citratis, gr. iij. 

Mentholis, gr. iij. 

Quininse sulphatis, gr. vj. 
Misce et fiant chartulse no. iv. 
Sig. : One powder every two hours. 



Hand-Book of Modern Treatment. 23' 



I£ Quininse valerianatis, gr. xxx. 

Caffeinse citratis, gr. xv. 

Ext. cannabis Indicse, gr. iij. 
Misce et fiant pilulse no. xx. 
Sig. : One twice or three times daily. 
Indication: Useful in hemicrania. 



I£ Caffeinse citratis, gr. xij. 

Phenacetini, 3j. 

Caniphorse monobromatse, gr. xij. 
Misce et fiant pilulse no. xv. 
Sig.: One every three or four hours. 
Indication: Useful in migraine or neuralgic 
headache. 



1$, Acetanilidi, gr. xx. 

Camphorse inonobro., gr. v. 

Caffeinse citratis, gr. xl. 
Misce et pone in capsulas no. xx. 
Sig.: One every three hours until relieved. 



HEART DISEASE. 

I£ Sodii arsenatis, gr. V 61 . 

Potassii iodidi, gr. •%. 

Pulv. nucis vomicae, gr. 1 / s . 

Pulv. rhei, gr. 3 / 4 . 

Extracti dulcamarse, gr. iss. 
Misce et fiant pilulse no. j. 
Sig. : One pill daily. 
Indication: Useful in fatty heart. 



I£ Potassii iodidi, gr. x. 

Sparteinse sulphatis, gr. iss. 
Julapii, ^iij. 

Syrupi amarse aurantii, f§j. 
Misce. 

Sig. : One tablespoonful every three hours 
so that entire amount be taken during the 
twenty-four hours. 

Indication: Heart disease with arterioscle- 
rosis. 



238 Hand-BooTc of Modem Treatment. 



ADOLESCENT HEART-STEAIN. 

Adolescent heart-strain is due to a want of muscular power 
of the cardiac muscles only, especially the musculi papillares, 
whose weakened condition permits of the regurgitant murmurs 
heard at the apex. The bruit present at the base is secondary 
to ansemia of the general system. Treatment should consist of 
rest in bed, seclusion, the administration of digitalis pushed 
until one has the physiological effects, and strychnine, preferably 
in the form of the tincture of nux vomica on account of its 
stimulating and appetizing properties. 

R, Pulveris digitalis foliorum, gr. xx. 
Quininse hydrochloride gr. xx. 
Extract! nucis vomicae, gr. v. 
Misce et fiant pilulae no. xx. 
Sig. : One pill three times daily. 
Indication: Unpleasant effects of digitalis 
upon stomach can be overcome, with increase of 
appetite, by this threefold combination. 

I£ Glandulae suprarenalis siccse, 3ij. 
Pone in capsulas no. xxiv. 
Sig. : One capsule twice daily. 
Indication: Useful in cardiac enfeeblement 
due to obesity. 

I£ Acidi arsenosi, gr. ij. 

Extracti digitalis, 3j. 

Extracti nucis vomica?, 3j. 
Misce et fiant pilulse no. lx. 
Sig. : One pill three times daily. 
Indication: Useful in anaemia of feeble 
heart disease. 

IJ Acidi hydrochlorici diluti, 3iij. 
Aquse, q. s. ad giv. 

Misce. 

Sig.: One teaspoonful three times daily. 

Indication: Useful in simple palpitation 
combined with sodium bromide, ten grains at 
each dose. 



Hand-Boole of Modern Treatment. 239 



I£ Pulveris digitalis foliorum, gr. xx. 

Hydrargyri chloridi mitis, gr. xx. 

Syrupi scillae, gr. xx. 
Misce et fiant pilulse no. xx. 
Sig. : One pill after each meal. 
Indication: Useful in cardiac dropsy. 

R, Digitalis, 3j. 

Spiritus glycerylis nitratis, m xxiv. 

Tinct. gentianae comp., Biij- 
Misce. 

Sig. : One teaspoonful every three hours. 
Indication: Useful in atheromatous condi- 
tion. 

I£ Tinct. digitalis, m xx. 

Tinct. aconiti, m xx. 

Tinct. belladonna?, m xxiv. 

Tinct. cardamomi comp., q. s. ad %\i]. 
Misce. 

Sig. : One teaspoonful every four hours. 
Indication: Useful in cardiac dropsy. 

1$. Tinct. strophanthi, 3ss. 

Sig. : Five to ten minims three times daily 
or three minims to children. 
• Indication: Useful when digitalis fails and 
also for children. 

Ik Morphinae sulphatis, gr. V 8 . 

Tinct. strophanthi, gtt. vj. 

Spiritus frumenti, 3j. 
Misce. 
Sig. : Give in one dose. 

I£ Tinct. digitalis, f3ij. 

Tinct. opii, f3ij. 
Misce. 

Sig.: Two to four drops every three hours. 
Indication r Useful in cardiac asthma and 
dyspnoea. 

I£ Chloralis hydratis, gr. x-xx. 

Sodii bromidi, gr. x-xx. 
Misce. 

Sig. : One dose at bed time. 
Indication: Insomnia due to heart trouble. 



240 Hand-Book of Modern Treatment. 

IJ Sparteine sulphatis, gr. iss. 

Fluidextracti digitalis, gr. xv. 

Aquse, q. s. ad §ij. 
Misce. 

Sig. : A teaspoonf ul every two hours. 
Indication: Same as above. 

IJ Pulveris digitalis, gr. i-ij. 

Camphors, gr. i-ij. 

Acidi benzoici, gr. ii-v. 
Misce. 

Sig.: One such dose three times daily. 
Indication: Useful in pulmonary congestion 
in heart disease. 

IJ Podophyllini, gr. ss. 

Hydrargyri chloridi mitis, gr. x. 
Pulveris aromatici, gr. ij. 
Misce. 

Sig. : Give in one dose and follow with 
digitalis if necessary. 

Indication: Useful for hepatic congestion 
complicating heart disease. 

IJ Hyoscyaminse, gr. V 100 . 
Sig.: One dose at bed time. 
Indication: Useful in insomnia with dysp- 
noea in heart trouble. 



HEMORRHOIDS. 

IJ Extracti opii, 3ss. 

01. olivse, f3ij. 

Ung. zinci oxidi, gj. 

Pulv. gallae, 3ij. 
Misce. 

Sig. : Cleanse the parts thoroughly and ap- 
ply locally once or twice daily. 

IJ Acidi gallici, 3j. 

Ext. opii, 3v. 

Ext. belladonnse, 3v. 

Ung. simp., giij. 
Misce. 
Sig. : Apply locally to the painful parts. 



Hand-Book of Modern Treatment. 241 

I£ Mentholis, gr. xv. 

Cocainse, gr. xxx. 

Fluidextracti secal. cornut., §ss. 

Fluidextracti hamamel. Virg., £ss. 
Misce. 
Sig. : Apply locally. 



Or 



1$, Alumini, gr. Ixxv. 

Liq. phimbi subacet., gr. xv. 
Olei olivse, 3ss. 
Lanolini, giss. 
Misce et fiat unguentuni. 
Sig. : To be applied locally night and morn- 
ing after thoroughly cleansing the affected 
areas. 

Sir James Sawder gives the following formula for an oint- 
ment for piles: Take the whole plant of the celadine (Kanun- 
culus ficaria), gathered when it is blooming in the spring, cut 
it into small segments, and keep it immersed in melted 
hog's lard, at a temperature of about 100° F., in the pro- 
portion of 1 part by weight of the plant to 3 parts of lard, 
for twenty-four hours. Then squeeze, strain, and allow it 
to cool and solidify. This use of the plant has long been recog- 
nized, as one of its old English names is pilewort. 

The following was prescribed by Darche for a man suffering 
with ulcerated haemorrhoids, and who wanted only palliative 
treatment : — 

IJ. Mercurolis, gr. v. 

Chloretoni, gr. xv. 

Acidi borici, 3ss. 

Petrolati, gj. 
Misce et fiat unguentum. 
Sig.: To be applied three times daily. 

Martin combats the bleeding from internal haemorrhoids 
by the use of a suppository of adrenal chloride or one containing 
the following ingredients: — 

16 



242 Hand-Book of Modern Treatment. 

IJ Pulv. suprarenal gland, 3j. 

Iodoformi, 3j. 

01. theobrom., q. s. 
Misce et fiant suppos. no. xij. 
Sig. : One at night and one an hour before 
stool. 



A writer cautions as to the use of these highly astringent 
suppositories, as he has seen severe attacks of strangulation 
brought on by their too free application. Coating the supposi- 
tory with lycopodium is bad, as the powder is exceedingly irritat- 
ing to the sensitive rectal mucosa. 

The internal variety are rendered painless for a period of 
from two to three hours by a suppository of the following : — - 



IJ Orthoformi, gr. xv. 

Ext. belladonnse, gr. j. 

01. theobromse, q. s. 
Misce et fiat in suppos. no. x. 



Or, if there be a tendency to slight haemorrhage from min- 
ute fissures, etc. : — 



I£ Acidi gallici, gr. xv. 

Ext. opii, gr. j. 

Orthoformi, gr. xv. 

Ext. belladonnae, gr. j. 

01. theobromae, q. s. 
Misce et fiat suppos. no. x. 



Dr. J. P. Tuttle favors the treatment of hemorrhoids by 
means of injection, using a moderately strong solution of car- 
bolic acid in order to set up inflammatory induration, which will 
cut off a portion of the circulation to the growth and result in 
gradual atrophy. He claims, with the proper antiseptic precau- 
tions, that there is no danger of sepsis, abscess formation, of 
sloughing. He recommends the following combination to pro- 
duce the results above stated : — 



Hand-Book of Modern Treatment. 243 

I£ Acidi carbol., 3ij. 

Acidi salicylici, 3ss. 

Sodii biboratis, 3j. 

Glycerini, q. s. ad Sj- 
Misce. 

Sig. : Five minims to be used as an injec- 
tion into the hsemorrhoid. 



At the end of one week, as a rule, the remaining tumors 
may be similarly treated. 

In the varicose style of external haemorrhoids prompt evacu- 
ation of the bowels should be obtained by administering a cold 
enema, after which the following ointment should be applied : — 



IJ Ung. acidi tannici, §j. 
Ung. belladonna?, fi- 
ling, stramonii, Sj- 

Misce. 

Sig. : Apply freely to the affected parts. 



The following is recommended by Julie, as noted in Ameri- 
can Medicine. The parts should be thoroughly washed and an 
ointment of iodoform and vaseline applied to the hemorrhoidal 
mass; 15 minims of the following solution is then injected into 
the base of the mass : — 



R. Zinci chloridi, gr. viiss. 

Cocainse hydrochlor., gr. iij. 

Aquae destil., f3v. 
Misce. 
Sig. : Use as advised above. 



He states that patients do not complain of the pain, but the 
next day a slight inflammatory nodule is produced, which dis- 
appears on the fourth or sixth day. He does not believe that 
thromboses are liable to occur, especially if care is taken when 
making the injections to distribute the liquid. 



244 Hand-Book of Modem Treatment. 

HEMORRHOIDS WITH PAIN". 
1£ Morphinae sulphatis, gr. vj. 

Cocainse muriatis, gr. xij. 

Hydrargyri cliloridi mitis, gr. xl. 

Vaselini, §j. 
Misce. 
Sig. : Apply locally night and morning. 

Sawyer states that this combination is the best local appli- 
cation that can be made when pain is present. If itching is 
present, or in case of pruritus, he recommends : — 

I£ Mentholis, 3ss-3j. 

Vaselini, §j. 
Misce. 
Sig. : Apply locally night and morning. 

IJ Pulveris opii, gr. xx. 

Pulveris gal la, gr. xxx. 

Plumbi acetatis, gr. xxx. 

Ichthyoli, §ss. 

Petrolati, §j. 
Misce. 
Sig.: Cleanse the parts and apply. 

A writer has found more than once great relief or temporary 
cure speedily follow upon the free use of distilled extract of 
hamamelis as a rectal injection. The most convenient instru- 
ment for that purpose is the now well-known syringe designed 
for the injection of glycerine as an excitant of rectal contrac- 
tions. The quantity to use is from 2 to 4 drachms frequently 
during the day and evening. He has not noticed any unpleasant 
side-effects in those cases where he has had the opportunity of 
suggesting and watching the effect of this application of hama- 
melis. It may be that those who have been disappointed trusted 
to internal administration or too scanty local application of the 
drug. 

I£ Acidi galliei, §ss. 

Fluidextracti hamamelis, §ss. 

Tinct. benzoini comp., 5ss. 

Tinct. belladonna, 3j. 

Olei olivfle (carbol. 3 per cent.), q. s. ad 

§ij. 
Misce. 
Sig. : Apply with brush thrice daily. 



Hand-Book of Modern Treatment. 245 

Ten to 15 drops of pure ichthyol in capsules three times 
daily will cure almost all cases of haemorrhoids, through its 
action upon the intestines and liver. 

Dr. H. A. Hare calls attention to the importance of non- 
operative treatment of the milder forms of haemorrhoids. He 
commends the use of the conical dilator, rubbed with a 10-per- 
cent, ointment of ichthyol in lanolin. 

When the haemorrhoids are small with general congestion, 
u*se the following: — 

I£ Fluidextracti hamamelis, §ij. 
Fluidextracti ergot, 3iiss. 
Fluidextracti Hydrastis, Siiss. 
Tinct. benzo. comp., 3iiss. 
Olei carbol. (5 per cent.), q. s. ad §iv. 
Misce. 

Sig. : Inject a teaspoonful in the rectum 
with a small syringe night and morning. In- 
struct the patient to be quiet for a short time. 

I£ Hydrastin, gr. x. 

Pulveris aluminis, gr. x. 
Cocainse, gr. vj. 
Olei theobromatis, q. s. 
Misce et fiant rectal suppos. no. xij. 
Sig. : Insert one into the rectum every night 
and in severe cases insert one night and morn- 
ing. 



HEPATIC CIRRHOSIS. 

I£ Acidi hydrochlorici diluti, gj. 

Tinct. gentianae comp., §j. 

Aquse, q. s. ad §vj. 
Misce. 

Sig.: One teaspoonful after each meal. 
Indication: Useful to aid in digestion. 

1$. Acidi nitrohydrochlorici, 3ij. 

Sig. : Three to five minims in water through 
a glass tube every four hours. 

Indication: Useful in early stages of hepatic 
cirrhosis. 



246 Band-Book of Modern Treatment. 

I£ Potassii iodidi, gj. 

Aquae, q. s. ad Biij- 
Misce. 

Sig. : Six minims three times daily and in- 
crease three minims daily up to thirty. 

1^ Sodii phosphatis, %\x. 

Sig. : A dessertspoonful to a tablespoonful, 
in water, before meals. 

HEPATITIS. 

IJ Potassii iodidi, §j. 
Aquse, q. s. ad §iij. 
Misee. 
Sig. : Thirty minims three times daily. 

R Hydrargyri chloridi mitis, gr. iij. 

Pone in capsulas no. vj. 

Sig. : One every hour and follow with full 
dose magnesium sulphate. 

Indication : Useful when constipation is 
marked. 

I£ Potassii citratis, Sir. 

Spiritus aetheris nitrosi, 3iv. 

Aquae, q. s. ad giij. 
Misce. 

Sig. : Teaspoonful every two hours. 
Indication: Useful to prevent diuresis. 

HERPES. 

IJ Spiritus camphorae, f§j. 

Sig.: Apply several times daily, 

Ifc Zinci sulphatis, gr. xx. 

Aquae, Biv. 
Misce. 
Sig.: Apply several times daily. 

I£ Tinct. benzoini, 3iv. 

TJng. aquae rosae, 3iv. 
Misce. 
, Sig.: Apply at frequent intervals. 



Hand-Book of Modern Treatment. 247 



IJ Calamini, gr. xv. 
Zinci oxidi, gr. xxx. 

Alcoholis, 3iij. 

Acidi borici (sat. sol.), q. s. ad giij. 
Misce. 

Sig. : Apply frequently. 
Indication: Useful in progenital herpes. 

1$, Zinci phosphidi, gr. v. 

Pone in capsulas no. xxx. 

Sig. : One capsule every four hours. 

Indication: Useful in herpes zoster. 

B Sodii salicylatis, 3iv. 

Aquae, q. s. ad %iv. 
Misce. 
Sig. : One teaspoonful four times daily. 

I£ Mentholis, gr. xlv. 

Amyli, 3iv. 

Zinci oxidi, q. s. ad Siij. 
Misce. 
Sig. : Apply to the side twice daily. 



HICCOUGH. 

Chloral is perhaps the most generally useful drag in idio- 
pathic hiccough, given to an adult in doses of 10 grains (or even 
20 grains) every hour until from 60 to 80 grains have been used. 
If after four or five hours the spasms still continue it will be 
inadvisable to go on with the chloral. Many times a sharp 
counterirritation on the surface of the epigastrium will stop the 
attack, used with or without the chloral internally. The simple 
act of sneezing will sometimes promptly check hiccough. 

Hiccough is usually of no consequence whatever, but dur- 
ing the course of acute diseases it becomes frequently a very 
dangerous and difficult complication. Dr. Kolipinski says that 
he was able to stop the hiccough in such a case by taking a 
large spoon-handle and pressing the tongue down and back with 
a steady force. He continued the pressure on the tongue with 
the hope of further knowing the action of the palate-muscles, 



248 Hand-Book of Modem Treatment. 

when, to his surprise, the hiccoughs ceased. After the doctor's 
departure the hiccoughs returned, and the patient applied the 
spoon-handle himself to the back of the tongue, and with both 
hands pushed down firmly. The hiccough again ceased. The 
hiccough appeared several times, later, and was always promptly 
stopped by the application of the spoon-handle. 

This is a very valuable suggestion, as it can be used by any- 
body, and might be the means of saving many lives. 

I£ Pilocarpine hydrochlor., gr. ss. 
Aquse, 3j. 

Misce. 

Sig. : Twenty to thirty drops hypodermic- 
ally and repeat if required to produce free 
sweating. 

Indication: Used in conjunction with hot 
pack in hiccough of uraemia. 

Noir reports a cure in a case of persistent hiccoughing by 
continuous traction of the tongue for one and one-half minutes. 
All other measures had failed to produce results. There was 
no recurrence. 

IJ. Sodii bicarbonatis, 3j. 
Tinct. nucis vomicae, f3j. 
Tinct. cardamomi, q. s. ad f§iij. 
Misce. 

Sig. : One teaspoonful before each meal. 
Indication: Useful when the hiccough is due 
to indigestion. 

IJ Spiritus setheris compositi, fgj. 
Sig. : One teaspoonful in cold water. 

I£ Tinct. capsici, 3iv. 

Sig. : Two to fifteen minims, well diluted, in 
water. 

Noir reviews the various methods of treating obstinate hic- 
cough. He alludes to galvanization of the phrenic nerve, to the 
application of a faradic current to the epigastrium (Erb's 
method), to compression of the left phrenic nerve (Leloir's 



Eand-BooJc of Modern Treatment. 249 

method), to the forcible elevation of the hyoid bone by the 
fingers (NothnageFs method), and finally to vigorous trac- 
tion of the tongue (Laborde's method). He prefers the latter 
on account of its simplicity and efficiency. It has given excel- 
lent results in his hands. In a nervous girl, aged 6 years, who 
was completely exhausted by hiccough of over six hours' dura- 
tion, traction of the tongue for a minute gave immediate relief. 
In a second case, a patient with advanced diabetes complicated 
with tuberculosis, hiccough which had already lasted several 
days and which had resisted all other remedial measures, 
promptly yielded to Laborde's treatment for about two minutes. 

HYDROCEPHALUS. 

I£ Potassii iodidi, §j. 
Aquae, q. s. ad Sij- 
Misce. 

Sig. : Two drops three times daily. 
Indication: Useful in condition due to syph- 
ilis. 

]$ Syrupi ferri iodidi, §j. 

Sig. : Two to three drops three times daily. 

Indication: Useful in the strumous type. 



HYDROPHOBIA. 

I£ Phenolis, §j. 

Sig. : Incise freely and cauterize with this, 
and then apply alcohol. 

I£ Potassii permanganatis, gr. ij. 

Aquae dest., Sj. 
Misce. 

Sig. : Incise the wound, cauterize, and inject 
this solution around the wound. 

HYPERACIDITY. 

In patients who persistently complain of acidity of the 
stomach, associated with great discomfort or real pain, it be- 
comes necessary to counteract the hyperacidity by the frequent 



250 Eand-Book of Modem Treatment. 

administration of alkalies. Ewald has obtained marked success 
by combining rhubarb and sugar with the alkalies : — - 

IJ Magnes. ust., gr. lxxv. 

Sodii carbonat., gr. lxxv. 

Potassii carbonat., gr. lxxv. 

Pulv. rhei, gr. cl. 

Sacch. laetis, 3vij. 
Misee. 

Sig. : Take three to five grains dry, on the 
tongue, every hour. 

The mechanical difficulty some patients experience in tak- 
ing magnesia, bismuth, or charcoal in powder form is appre- 
ciated by E. M. Harbin, who recommends the following ser- 
viceable mixture in the treatment of hyperchlorhydria : — 

I£ Strontii bromidi, 3iss. 

Carbo ligni, 3j. 

Bismuthi subnit., 3iv. 

Laetis magnesia?, §iij. 

Aquae menth. pip., q. s. ad 3vj. 
Misce. 

Sig.: Shake and take one tablespoonful one 
hour after meals. 

If an antiferment is indicated the mild chloride of mer- 
cury should be given in divided doses. 

I£ Sodii bicarbonatis, gr. viij. 

Hydratis magnesii, gr. xxix. 

Morphines hydrochloratis, gr. V 13 . 

Sacchari laetis, gr. xv. 

Cretse preparitas, 3ij. 
Misce. 
Sig.: One dose. 

1$ Sodii bicarbonatis, gr. v. 

Spt. ammonias aromat., m xx. 

Aquas menthas pip., q. s. ad f3j. 
Misce. 
Sig.: One teaspoonful three times daily. 



Hand-Book of Modern Treatment. 251 

HYPERHIDROSIS. 

Wash the affected parts with spirits of camphor and apply 
the following: — 

B Ichthyoli, 3ij. 

Spts. terebinthinse, 3ij. 

Ung. zinci oxidi, 3iv. 
Misce et fiat unguentum. 
Sig. : Apply locally. 

In the shoes the following may be sprinkled: — 

1$, Sinapis, 3j. 

Pulv. talci, %iv. 
Misce. 
Sig. : To be dusted in the shoes and hose. 

I£ Balsami peruviani, gr. xv. 

Acidi formici, gr. xlv. 

Chloralis, gr. lxxv. 

Alcoholis absoluti, q. s. §iij. 
Sig.: Rub into hands or feet. 

Baths of formalin or potassium permanganate will cause 
the foetid odor to disappear rapidly. The former may be used 
as' follows : — 

I£ Formalin, 3j. 

Aqu«, Oij. 
Misce. 
Sig. : To be used as a bath locally. 

I£ Potassii permanganatis, 3iiss. 

Aquae, §x. 
Misce. 

Sig. : One dessertspoonful to a quart of 
water for a local sponge bath. 

Brocq recommends the following combination: — 

IJ. Betanaphtholis, 3j. 
Glycerini, 3ij. 
Alcoholis, §iiss. 
Misce. 

Sig. : To be used locally, followed by a pow- 
der of salt, starch, bismuth subnitrate, or the 
following: — 



252 Band-Booh of Modern Treatment. 

IJ Acidi salicylici, gr. xlv. 

Pulv. amyli, 3iiss. 

Pulv. talci, 3vss. 
Misce. 
Sig. : Apply locally as a dusting powder. 



IJ, Acidi salicylici, gr. xlv. 

Pulv. amyli, 3vss. 

Betanaphtholis, 3iiss. 

Sodii boratis, 3iiss. 

Pulv. sodii chloridi, 3ivss. 
Misce. 
Sig.: Apply locally. 



Once in eight days a few drops of the following combination 
may be dropped between the toes : — 



I£ Plumbi oxidi rubri, gr. xv. 

Sol. plumbi subacetatis, 3vij. 
Misce. 

Sig. : Apply locally between the toes once 
every eight days. 



HYPNOTICS. 

Eapiteau has observed that the combination of trional and 
paraldehyde gives a new hypnotic which is four or five times 
more active than trional alone, and which may be employed for 
a great length of time without the fear of forming a habit or 
of cumulative effects. He recommends its administration ac- 
cording to the following formula? : — 

First make a normal solution of the two drugs as follows : — 



I£ Trional, gr. xv. 

Paraldehyde, gr. xxx. 

Olei amygdalis dulcis, fgss. 
Mix the trional and paraldehyde, then add 
the oil, and obtain a solution in a water-bath. 



Hand-Book of Modern Treatment. 253 



As a draught: — 



I£ Sol. trional et paraldehyde (normal), 
fgiss. 
Mucilaginis, fSiij- 
Syr. pruni Virginianae, f^ss. 
Misce. 

Sig. : One tablespoonful at bed time in cases 
of insomnia. 



Each, tablespoonful of the foregoing will contain 5 grains of 
trional and 10 grains of paraldehyde. 

The following is serviceable, to be given per rectum : — 

B Sol. trional et paraldehyde, f3ii-iv. 

Ovi vitelli uni. 

Lactis, Sivss. 
Misce. 
Sig. : At one injection for an adult. 



In the'form of a suppository: — 

I£ Trional, gr. iij. 

Paraldehyde gr. vj. 

Olei theobromse, f3j. 
Misce et fiat suppositorium no., j. 
Sig. : To be given at night for an adult. 

For a child these preparations may be given in the follow- 
ing proportions : — 

Ifc Trional, gr. %. 

Paraldehyde gr. iss. 

Olei theobromse, m x. 
Misce et fiat suppositorium no. j. 
Sig. : At bed time. 

To be given in a capsule either to children or adults in the 
proper-sized doses, the following form of administration is rec- 
ommended : — 



254 Hand-Book of Modern Treatment. 

B Trional, gr. %. 

Paraldehydi, gr. iss. 

Olei amygdalis dulcis, m x. 
Misce et fiat capsula no. j. 
Sig. : One capsule three to six times a day. 

Dr. W. M. Donald describes his experience with chloretone, 
according to which this new drug is one of the most reliable 
and safe hypnotics known at present. He reports one case in 
which the patient surreptitiously took chloretone within a very 
brief period to the extent of 120 grains. In consequence he slept 
almost continuously, with only brief lucid intervals, for six 
days, and with no visible bad or untoward effects, except that 
the stomach was somewhat irritable, which, however, may be 
ascribable rather to the fasting than the drug. 

HYSTERIA. 

IJ Elixiris ferri, quininae et strychninae phos- 

phatis, §iv. 
Sig.: One teaspoonful three times daily. 
Indication: Useful in hysteria accompanied 
with anaemia. • 

IJ Quinines valerianitis, gr. xx. 

Ferri valerianitis, gr. xx. 

Ammon. valerianitis, gr. xx. 
Misce et fiant pilulae no. xx. 
Sig. : One or two three times a day. 
Indication: Useful in nervous hysteria and 
when associated with anaemia. 

IJ Camphorae monobromatae, 3ij. 

Fiant pilulae no. xxx. 

Sig. : One pill three times daily. 

B Spiritus aetheris compositi, §ij. 
Sig. : One teaspoonful at bed time to pro- 
duce sleep. 

fy Extracti ovarianae, 3ij. 
Fiant tabellae no. xxx. 

Sig.: One tablet daily until some effect is 
secured. 



Hand-Book of Modern Treatment. 255 

ICHTHYOSIS. 

I£ Chrysarobin, gr. xv. 

Ung. petrolati, §j. 
Misee. 

Sig. : Wash with hot water and green soap 
and apply once daily. 

IJ Ung. hydrarg. nitr., 3iv. 

Ung. sulphuris, 3iv. 
Misce. 

Sig. : Wash with hot water and apply and 
rub in well. 

I£ Acidi salicylici, gr. xl. 

Glycerini, m xl. 

Adipis lanae hydrosi, 3iv. 

Lardi benzoaci, 3vj. 

Petrolati, 3vj. 
Misce. 

Sig. : Wash parts with green soap and hot 
water, and then apply this. 

I£ Ung. ichthyolis (10 per cent.), 5ij« 
Sig. : Apply locally once daily. 

Ifc Ung. sulphuris, §ij. 

Sig. : Apply locally once daily. 

IMPETIGO. 

B Acidi salicylici, gr. xv. 

Bismuthi subnitrat., 3v. 

Pulv. amyli, 3ij. 

Ung. aquae rosae, §iss. 
Misce. 

Sig. : External use. 

Indication: Useful for face and scalp in 
nursing children. 

If the impetigo is of the dry, squamous variety, use above 
ointment by inunction, frequently repeated. If moist, apply 
a thick coat of the ointment on gauze. Pruritus and congestion 
will rapidly diminish while the new, healthy epidermis forms 
under the ointment-crust. 



256 Hand-Boole of Modern Treatment. 

IJ Hydrarg. oxidi flavi, gr. xlv. 

Zinci oxidi, lxxv. 

Amyli, gr. lxxv. 

Adipis lanse hydrosi, gr. lxxv. 

Petrolati, 3iiss. 
Misce. 
Sig. : Used locally as required. 

IJ Acidi salicylatis, gr. xx. 
Acidi carbolici, gr. xij. 
Ung. hydrarg. amnion., 3ij. 
Ung. zinci oxidi, q. s. ad Bj- 
Misce. 

Sig. : Crusts should be removed with warm 
water and soap, and then this thoroughly 
rubbed in three times daily. 

IMPETIGO CONTAGIOSA BULLOSA. 

When the disease is distributed over a large area and there 
is much crusting, a bland oil, such as Carron oil, liquid albolene, 
or sweet oil, to which is added 2 per cent, of salicylic acid, should 
be used. This is rubbed well over the surface, the bullae are 
opened, the crusts are gently detached, then the following pow- 
der is plentifully dusted on: — 

I£ Acidi salicylici, gr. xx-3ss. 

Acidi borici, 3ij. 

Zinci oxidi, 3ij. 

Amyli, 3ij. 
Misce. 

Baths are contraindicated. Ointments also seem irritating. 
A drying, mildly-antiseptic, soothing dusting-powder, with a 
bland oil to soften the crusts and prevent the clumping of the 
powder when mixed with the serous oozing and contents of the 
bullae, has been, with me, the most successful method of treat- 
ment. 

IJ Acidi borici saturated solution, §ij. 

Phenolis, gr. x. 

Resorcini, gr. x. 
Misce. 

Sig. : Apply two or three times daily. 
Indication: Useful when accompanied with 
itching. 



Hand-Book of Modern Treatment. 257 



IMPOTENCE. 

I£ Extracti cannabis Indict, gr. xv. 

Extracti nucis vomicae, gr. xv. 

Extracti ergotse aquosi, 3j. 
Misce et fiant pilule no. xxx. 
Sig. : One pill morning and evening. 

R, Tinct. phosphori, fgiss. 

Tinct. cantharidis, 3iiiss. 

Elixiris simplicis, q. s. ad f£v. 
Misce. 

Sig. : One teaspoonful three or four hours 
before retiring. Increase the dose carefully. 

I£ Phosphori, gr. j. 

Alcoholis absoluti, f^v. 

Glycerini, f^iss. 

Alcoholis, f3ij. 

Spt. menthsB pip., f3j. 
Misce. 

Sig.: One-half teaspoonful three times 
daily. 

I£ Caniphone, gr. xxiv. 

Quininse hydrochloratis, gr. xxiv. 

Extracti nucis vomicae, gr. xij. 

Tinct. cantharidis, m xxiv. 

Oleoresinse capsici, gr. iv. 
Misce et fiant pilulse no. xxiv. 
Sig.: One pill after meals. 
Indication: Useful in debilitated subjects. 



INCONTINENCE OF URINE. 

RETROEECTAL SALINE INJECTIONS. 

All the ordinary methods of treatment failing to give relief, 
Patel injected 200 grammes of the solution into the retrorectal 
space of a female patient of 25. The following night there was 
no incontinence; there was, however, on the second night, and 
a second injection was made. The incontinence disappeared en- 
tirely, with no recurrence within six months. After the first 
injection in a second female patient of 20, the incontinence dis- 

17 



258 Hand-Boole of Modem Treatment. 

appeared for three days ; after the second injection for six days. 
The third injection (200 grammes) was followed by thirty days' 
continence; after the fourth injection (200 grammes) there was 
no recurrence. 

The needle of the syringe is introduced at the tip of the 
coccyx, or to one side of it, and is passed vertically upward. A 
finger in the rectum guides the needle as it is passed in, and pre- 
vents perforation of the rectal wall. The fluid is slowly intro- 
duced. No anaesthetic is required. 

R Sodii benzoatis, gr. xx. 

Sodii salicylatis, gr. xx. 

Fluidextracti belladonnse, gtt. ij. 

Aquse cinnamomi, fgiv. 
Misce. 

Sig. : A teaspoonful four or five times daily. 
Indication: Nocturnal incontinence of urine. 

R Potassii citratis, 3ij. 

Spt. setheris nitrosi, f3ij. 

Aquse dest., q. s. ad f^iij. 
Misce. 

Sig. : A dessertspoonful every four hours in 
water. 

Indication: When urine is concentrated. 

R Syrupi ferri iodidi, f^ss. 
Sig.: Fifteen to twenty drops, well diluted, 
three times daily. 

R Atropines sulphatis, gr. j. 

Aquse destillatse, fgj. 
Misce. 

Sig.: Four to eight drops in water for chil- 
dren. 

R Spt. setheris nitrosi, f3vj. 
Syrupi, f3iv. 

Liq. potassii citratis, f^viij. 
Misce. 

Sig. : Tablespoonful in water every two 
hours. 



Hand-Book of Modern Treatment. 259 



R Arseni trioxidi, gr. 1 / s . 

Ext. nucis vomicae, gr. ij. 
Misce et fiant pilules no. xx. 
Sig. : One pill three times daily after meals 
for children of eight or ten years. 

R Chloralis, gr. xvj. 

Potassii bromidi, gr. xxiv. 

Syrupi aca rise, f3ij. 

Aquae, q. s. ad Bj. 
Misce. 

Sig. : A lea spoonful in water at bed time. 
Indication: Used for a child of five or ten 
years of age with nocturnal incontinence. 

R Tinct. belladonna?, fgj. 

Sig. : Ten to twenty drops thrice daily. 

R Acidi benzoici, 3ij. 

Aquae cinnamomi, fgvj. 
Sig.: A tablespoonful thrice daily. 

R Syrupi ferri iodidi, f^ss. 
Sig.: Fifteen drops well diluted three times 
daily. 

R Tinct. cantharidis, f3iij. 

Sig. : One to two minims three times daily. 

Indication : Useful for aged women when in- 
continence occurs when coughing, sneezing, or 
laughing. 

R Fluidextracti rhois aromaticae, f3ij. 

Sig. : Five minims at two years, ten at four 
to six, and fifteen to older children, in sweet- 
ened water. 

INFLUENZA. 

R Potassii bromidi, gr. iij. 

Codeinae, gr. 1 / 6 . 

Antipyrini, gr. ivss. 

Morphinae hydrochlor., gr. V„. 
Misce et fiat capsula no. j. 
Sig. : One such to be taken two or three 
times daily. 

Indication: Useful to control cough. 



260 Hand-Book of Modern Treatment. 

IJ Quininse salicylatis, gr. xxxvj. 

Acetanilidi, gr. xxiv. 

Pulv. camphorse, gr. iv. 

Pulv. capsici, gr. ij. 

Pulv. ext. belladonnse, gr ij. 
Misce et fiant caj^sulse no. xij. 
Sig. : One every three hours if necessary. 
Indication: Useful to ameliorate the ca- 
tarrhal symptoms. 

IJ Heroin, gr. %. 

Amnion, chloridi, 3j. 

Syr. picis liq., Bj. 

Syr. tolutani, §j. 

Syr. pruni virginianse, £ss. 
Misce. 

Sig.: Two teaspoonfuls every three or four 
houfs. 

IJ Pulv. camphorse, gr. xij. 

Ammon. carbonatis, gr. xv. 

Pulv. opii et ipecacuanhse, gr. xx. 

Quininse bisulphatis, gr. xxj. 
Misce et fiant capsules no. xv. 
Sig. : One every two hours. 

IJ Potassii carbonatis, §ss. 

Tinct. belladonnse, §ss. 

Aquse camph., q. s. ad %\v. 
Misce. 

Sig.: Apply to inflamed parts every hour. 
Indication: Useful for the muscular and 
joint pains of this condition. 

IJ Salicini, 3ij. 

Quininse hydrochlor., gr. xxiv. 
Misce et pone in capsulas no. xxiv. 
Sig.: One capsule every five hours. 
Indication: To relieve pain in limbs and 
joints. 

IJ Strychninse sulphatis, gr. j. 
Fiant tabellse no. xxx. 
Sig.: One tablet three times daily. 
Indication: Useful in convalescence. 



Eand-Book of Modem Treatment. 261 



I£ Pulv. opii et ipecacuanhae, gr. lx. 
Sig. : Two grains every three hours during 
early stages of the disease. 

I£ Sodii benzoatis, gr. iss. 
Said, gr. iss. 
Acetanilidi, gr. iss. 
Caffeinae, gr. %. 
Misce et fiat chartula no. j. 
Sig. : One powder every three hours to a 
child six years old, or, if the pain is severe 
and the child is kept awake, add V12 grain of 
codeine sulphate to each powder. 



Where children refuse to take powders, prescribe the fol- 
lowing mixture, again adding codeine if necessary: — 



IJ Sodii benzoat., 5ss. 

Antipyrin., 3ss. 

Liquor amnion, anisat., 3ij. 

Syr. scillae conip., 3ij. 

Syr. althaeae, f§ss. 

Aquae anisi, q. s. ad f^ij. 
Misce. 

Sig.: One drachm every three hours to a 
child six years old. 



INGROWING TOENAIL. 

I£ Liquoris potassae, f3ij. 

Aquae destillatae, f^j. 
Misce. 

Sig. : Apply with pledgets of cotton wool 
to margin of nail at point of ulceration. 



IJ Pulv. plumbi acetatis, 3j. 

Tinct. opii, f5j. 

Aquae, q. s. ad fSviij. 
Misce. 

Sig. : Shake and apply constantly until in- 
flammation is reduced and pain alleviated. 



262 Hand-Book of Modern Treatment. 



INSOMNIA. 

Ifc Morphinse sulph., gr. j. 

Fiant chartulse no. vj. 

Sig. : One powder dissolved in ten minims 
of water and given hypodermically at bed- 
time. 

Indication: Used for insomnia of sthenic 
fevers, exhausting disease, and heart disease. 

1$ Sodii bromidi, gr. xv. 

Chloralis hydratis, gr. xv. 
Tinet. hyoscyami, m xv. 
Misce. 

Sig. : Take at one dose and repeat in one 
hour if necessary. 

Indication : Insomnia of acute alcoholism. 

I£ Chloralformamidi, gr. xl. 

Acidi hydrochlor. diluti, m v. 

Syrupi, f3ij. 

Aquae destillatse, f^ij. 
Misce. 

Sig.: Take in two doses four hours apart in 
a little water. 

1^ Trionalis, gr. xv. 

Codeinse, gr. ss. 
Misce. 
Sig. : Take on retiring. 

B Trionalis, gr. xv. 

Phenacetini, gr. x. 
Misce. 

Sig. : Take on retiring and follow either of 
the last two with a glass of hot milk. 

IJ Morphinge sulph., gr. ij. 

Chloralis hydratis, 5ij. 

Syrupi, fgij. 

Aquse, q. s. ad f§iv. 
Misce. 
Sig. : One dessertspoonful at night. 



Hand-Book of Modern Treatment. 263 



I£ Tinct. lobeliae, 3iv. 

Morphinse sulph., gr. V 3 . 
Elixiris simplicis, q. s. ad Sij. 
Misce. 

Sig. : One teaspoonful at night or during 
the attack, and repeat in two hours if neces- 
sary. 

Indication: Insomnia of asthma. 

Ifc Sodii bicarb., 3iss. 

Spt. ammon. aromat., 3v. 

Ammonii bromidi, 3iss. 

Tinct. card, comp., 5j. 

Aquae menthse pip., q. s. ad §iv. 
Misce. 

Sig. : One dessertspoonful at bedtime and 
repeat in one hour if necessary. 

1$, Ammon. bromidi, 3iij. 

Tinct. humuli, 3vj. 

Aquae camphorse, q. s. ad Siij. 
Misce. 

Sig. : One dessertspoonful in water at bed- 
time. 

Indication: Insomnia during climacteric. 

IJ Sulphonalis, gr. xxx. 

Syrupi, f3ij. 

Mucilaginis acacise, f3ij. 

Aquse destillatse, q. s. ad f§j. 
Misce. 

Sig. : From half to all of this at one dose, 
as may be needed. 

J£ Tinct. hyoscyami fgij. 

Sig. : From one to four teaspoonf uls when 
opium is not well borne. 

I£ Hyoscinae hydrobromatis, gr. %. 
Camphorse monobromatse, 3j. 

Misce et fiant capsular no. xv. 

Sig. : One capsule at bedtime and repeat in 
six hours if necessary. 

Indication: Used to induce sleep in mel- 
ancholia, neurasthenia, and mania. 



264 Band-Book of Modern Treatment. 

~fy Urethani, gss. 

Aquae aurantii flor., f§ij. 
Misce. 

Sig.: One to four teaspoonfuls at bedtime. 
Indication : In nervous cases not bearing 
opiates. 

I£ Morpliinae sulphatis, gr. j. 

Fluidextracti Valerianae, fSj. 

Elixiris humuli, f§j. 
Misce. 

Sig. : One or two teaspoonfuls as required. 
Indication: In insomnia of delirium tre- 
mens. 



INTERMITTENT FEVER.— See Fever. 



INTERTRIGO.— See Skin Disease. 

I£ Calaminae, 3j. 

Ung. zinci oxidi, 3vij. 
Misce. 

Sig.: Apply to eczematous spot. 
Indication: Useful in infantile forms. 

1$ Lycopodii, 3v. 

Sig. : Used freely- several times daily as a 
dusting powder. 

I£ Amyli, gss. 

Sig.: Used freely as a dusting powder. 

I£ Pulv. zinci oxidi. Sj- 

Sig. : Apply freely to parts affected. 

I£ Pulv. acidi salicylici, gr. xv. 
Pulv. zinci oxidi, 3iij. 
Pulv. amyli, 3iij. 
Vaselini, 3vj. 
Misce et unguentum. 

Sig. : Apply locally and cover with cotton 
after rubbing in. 

Indication: Useful in squamous eczema and 
infantile intertrigo. 



Hand-Book of Modern Treatment. 265 



I£ Ung. aquae roses, 3ss. 

Sig. : Apply freely several times daily. 



INTESTINAL CATARRH.— See Diarrhoea, Enteritis, Etc. 



INTUSSUSCEPTION. 

R Hydrogenii. 

Sig. : Inject slowly into the bowel from 
rubber bag with rectal tube. Patient should be 
under anaesthetic, and buttocks raised and head 
lowered while the injection is being made. 
Used during first or second day; never later 
than fourth day. 



1$. Fellis bovini, gr. x-xxx. 

Aquae ferventis, Oi-iv. 
Misce. 

Sig. : Inject slowly into the bowel until it 
is fully distended. Use in knee-chest position. 

I£ Ext. opii, gr. iij. 

Ext. belladonna?, gr. iij. 
Olei theobromae, q. s. 
Misce et fiant supposit. no. xij. 
Sig. : At first one of these suppositories can 
be introduced every two hours, and later as 
necessary to relieve pain and tenesmus; and 
food only as much as necessary to sustain life. 



IRITIS. 

R Atropinae sulphatis, gr. j. 
Cocainae hydrochlor., gr. iv. 
Adrenalin (1-1000), wixxx, 
Aquae, q. s. ad 3iiss. 

Misce. 

Sig.: One drop in eyes every three hours. 
Indication: Used when the inflammation is 
very acute. 



266 Hand-Book of Modern Treatment. 



I£ Ung. hydrargyri, 3iiss. 
Ext. belladonnse, gr. xv. 

Misce. 

Sig. : Rub over eyebrow. 

Indication: To relieve severe pains. Pain 
may be relieved by leeches to the temple and 
use of dry heat externally, or hot fomentations. 

R Scopolamine, gr. ss. 
Aquae destillatae, f§j. 
Misce. 

Sig. : One drop in eye morning and night. 
Indication: Used in cases where atropine 
causes irritation. 

R Duboisiae sulphatis, gr. j. 

Aquaa destillatse, fgj. 
Misce. 
Sig. : One drop into eye once or twice daily. 

B Ung. hydrargyri, gij. 

Sig. : One drachm as an inunction at night. 
Indication: Used in plastic iritis, and when 
gums are touched discontinue. 

1$ Quininae sulphatis, gr. ij. 

Hydrargyri iodidi flavi, gr. %-^. 

Ext. hyoscyami, gr. %, 
Misce et fiat pilula no. j. 
Sig. : One pill three to six times daily. - 
Indication: Syphilitic plastic iritis. 

I£ Hydrargyri chlor. corros., gr. j. 

Potassii iodidi, 3j. 

Tinct. ealumbse, fgij. 

Aquae destillatse, q. s. ad fgvj. 
Misce. 

Sig. : Dessertspoonful in a glass of water 
two or three times daily. 

IJ Atropine sulphatis, gr. iv. 
Aquae destillatae, fgj. 

Misce. 

Sig. : One drop in eye two or three times 
daily, and bathing fifteen minutes every hour 
till pain is relieved. 



Hand-Boole of Modern Treatment. 267 



ITCH.— See Scabies. 



JAUNDICE.— See Biliousness, Catarrh, and Calculi. 

IJ Mentholis, gr. lxxx. 

Zinci oxidi, gr. lxxx. 

Amyli, §j. 

Talci, Sj- 
Misce. 

Sig. : Dust on freely. 

Indication: Used as a dusting powder for 
the itching of jaundice. 

IJ Amnion, chloridi, gr. j. 

Syrupus acacise, §ss. 
Misce. 

Sig. : A teaspoonful every two hours. 
Indication: Jaundice in the new-born. 

IJ Hydrargyri chloridi mitis, gr. ij. 
Sodii bicarbonatis, 3ij. 

Misce et fiant chartulge no. xij. 

Sig. : One powder every half -hour, and fol- 
low with a laxative. 

Indication: Useful in catarrhal jaundice 
with constipation. 

IJ Phenolis, gr. xj. 

Glycerini, §j. 

Aquae, gj. 
Misce. 
Sig. : Apply locally to affected parts. 

IJ Sodii phosphatis, giv. 

Sig. : Dessertspoonful in hot water three 
times daily before meals. 

IJ Saloli, gss. 

Fiant chartulse no. xlviij. 

Sig. : One powder six times daily or two 
before meals. 

Indication: Useful in jaundice with intes- 
tinal catarrh and flatulency. 



268 Hand-Booh of Modern Treatment. 

I£ Fellis bovis purificata, 3j. 

Manganesii sulphatis exsiccati, gr. xl. 

Resinse podophylli, gr. v. 
Misce et fiant pilulse no. xx. 
Sig. : One pill three times daily. 
Indication: Catarrhal jaundice. 



I£ Amnion, iodidi, 3j. 

Liq. potassii arsenitis, f3ss. 

Tinct. calumbse, f^ss. 

Aquae destillatse, f^iss. 
Misce. 

Sig. : A teaspoonful three times a day be- 
fore meals. 



B Fluidextracti Hydrastis, fSj. 
Sig. : Five to fifteen drops before meals 
daily for some weeks. 

I£ Amnion, chloridi, 3iij. 

Fluidextracti hydrastis, f^ss. 

Syr. sarsaparillse comp., f^iss. 

Aquae destillatse, q. s. ad Siv. 
Misce. 
Sig. : A dessertspoonful every three hours. 



JOINT, INFLAMED.— See Synovitis. 
KELOIDS. 

R Ichthyoli, Sss. 

Adipis lanse hydrosi, q. s. ad §j. 
Misce. 
Sig. : Apply freely to soften and absorb. 

I£ Thiosinaminse, gr. xij. 

Alcoholis (absolute), q. s. ad 3ij. 
Misce. 

Sig. : Inject ten to fifteen minims directly 
into the part affected every fourth day. 



Hand-Book of Modern Treatment. 269 

KERATITIS, INTERSTITIAL. 

I£ Ung. hydrarg., 3j. 

Sig. : One drachm used by inunction by 
night. 

Indication: In earlier stages until slight 
tenderness of gums. 

I£ Atropinae sulphatis, gr. j. 

Aquae destillatae, 3iij. 
Misce. 

Sig. : One drop in eye morning and night. 

Indication: To reduce irritation. May be 

combined with a weak solution of boric acid. 

I£ Hydrarg. oxidi flavi, gr. ij. 
. Lanolini, 3j. 
Petrolati albi, 3j. 

Misce. 

Sig. : Small portion between lids, and upper 
lid gently rubbed over cornea for several min- 
utes. 

Indication: To hasten absorption of opaci- 
ties. Only indicated when all inflammation 
of disease has subsided. 

1$, Syr. ferri iodidi, Sj- 

Sig. : Ten drops in water after meals, in- 
creased gradually to twenty or thirty drops. 



KERATITIS, PHLYCTENULAR. 

1$. Syrup i ferri iodidi, f3vij. 

Liquoris potassii arsenitis, f3j. 
Misce. 

Sig. : Three to ten drops internally after 
meals. 

Indication: Tonic for strumous children. 

IJ Atropinae sulphatis, gr. iv. 

Aquae destillatae, Sj. 
Misce. 

Sig.: One drop in the eye morning and 
night until pain ceases. 



270 Hand-Book of Modern Treatment. 

KERATITIS, ULCERATIVE. 

IJ Atropinae sulphatis, gr. j. 

Aquae destillatae, 3iij. 
Misce. 

Sig. One drop in the eye morning and even- 
ing. 

I£ Physostigminge sulphatis, gr. %. 

Aquae destillatae, fgj. 
Misce. 

Sig. : One drop in the eye three times daily. 
Indication: Beneficial effect on the cornea. 

I£ Pulv. iodoformi, 3iv. 
Sig. : Dust on the cornea. 

Ifc Phenolis, gr. xl. 
Aquae, fSviij. 

Fiat collyrium. 

Sig. : Any trace of ulceration on cornea is 
scraped, and cornea, lids, and conjunctiva are 
washed with the above solution. 

Ifc Tinct. iodi, 3ij. 

Sig.: Apply to sides and floor of the ulcer 
and then inject into the conjunctival sac a few 
drops of olive oil to prevent irritation from 
the contact of the Iodine with healthy mucous 
membrane. 



KOUMISS, PREPARATION OF. 

Once in a while it is advisable to make koumiss, on which 
occasions the following method of preparation as given by H. V. 
Sachse, in "How to Cook for the Sick," is the best: — 

Heat 2 quarts of milk to 100° F., or pasteurize and cool to 
100° F. Dissolve 1 / 3 yeast-cake in 2 tablespoonfuls of the milk, 
boil 2 tablespoonfuls of sugar with 3 tablespoonfuls of cold 
water, mix all together and bottle at once. Cork firmly and 
stand in a warm (70°F.) place over night, Next morning lay 
the bottles carefully on their sides in a cool place for twenty- 
four hours. Open with a tap, or use ordinary beer-bottles. 



Hand-Book of Modem Treatment. 271 



LABOR. 

I£ Chloralis hydratis, 3iiss. 

Sodii broniidi, 3iiss. 

Amnion, broniidi, 3iiss. 

Syrupi simp., gss. 

Aqua destillatae, q. s. ad ^ij. 
Misce. 

Sig. : One teaspoonful every hour until three 
doses are taken. 

Indication: A sedative in the first stage of 
labor. 



B Lactis, f§j. 
Aqua, fSj. 
Chloralis, gr. xxx. 

Misce. 

Sig. : This may be given in first stage of 
labor to lessen pain, and as the head passes 
vulva the patient is given sufficient chloroform 
to dull the sensibility. 

Indication: Used as an injection to lessen 
later pain. 



FALSE LABOR-PAINS. 

Dr. Bennett, of Chicago, gives 15 grains of chloral-hydrate 
in solution in those cases of labor where there is a severe, irri- 
tating pain without progress of great labor or with rigid os 
uteri. This dose often corrects the whole train of symptoms. 

Dr. Archangelsky says that for several reasons the external 
application of chloroform to the abdomen in severe and irregular 
labor-pains is superior to chloroform anaesthesia. He employs 
a mixture of 1 part of chloroform to 2 or 3 parts of olive-oil, 
rubs it in well on the abdomen, and then applies a warm compress. 
In a very short time the pain is relieved, the contractions be- 
come regular and more effective. Its advantages over chloroform 
anaesthesia are : The patient remains fully conscious, the pulse 
and the respiration remain good, there is no nausea, vomiting, 
or uterine atony. 



272 Hand-Boole of Modern Treatment. 

IJ Morphinse sulphatis, gr. ij. 
Aquae destillatae, 3j. 

Misce. 

Sig. : Five to ten minims hypodermicaHy 3 
repeated if necessary. 

Indication: Useful in protracted labor due 
to rigid os. 

IJ Vini opii, gtt. xl. 

Sig. : Inject with a little starch water, in 
two or three doses, in the course of a couple 
of hours. 

Indication: To prevent premature labor. 

IJ Fluidextracti kolse, f£ss. 
Sig. : One-half teaspoonful in water every 
hour. 

Indication : Useful in protracted labor. 

IJ Quininse sulphatis, gr. xl. 

Acidi sulph. aromat., q. s. ut ft. sol. 

Syrupi zingiber is, f^j. 

Aquse, q. s. ad f§ij. 
Misce. 

Sig.: A tablespoonful at once and a des- 
sertspoonful every four hours afterward. 

Indication: Useful in atony of the uterus. 

B Fluidextracti ergotse, f^ss. 

Sig. : One or two teaspoonfuls. 

Indication: Used in post-partum haemor- 
rhage. Never to be administered before deliv- 
ery. 



LARYNGISMUS STRIDULUS (SPASMODIC CROUP), 

IJ Zinci valerian t., gr. 5 / 6 . 

Asafcetidse, gr. 5 /e- 

Pulv. gentians, 

Ext. gentianse, of each, q. s. 
Misce et fiat pilula no. j. 
Sig. : One such pill morning and evening. 
Indication: Useful in spasms of the larynx. 



Hand-Book of Modern Treatment. 273 



I£ Chloroformi, m x. 

GTycerini, f3j. 

Syrupi Tolutani, f3v. 

Aquae, fSij. 
Misce. 

Sig. : To be taken at the time of outset in 
doses of one teaspoonful every one-half-hour. 

B Potassii broinidi, 3ij. 

Chloralis hydratis, 3ss. 

Syr. Tolutani, fgss. 

Aquae destillatae, fgiss. 
Misce. 
Sig.: A teaspoonful every half-hour. 

I£ Thymol i, gr. xx. 

Alcoholis, f^ij. 
Misce. 

Sig. : Evaporate a tablespoonful in the room 
every hour. 

Indication: Used to relieve laryngeal spasm. 

I£ Syrupi ipecacuanhae, f5j. 
Sig. : A teaspoonful every fifteen minutes 
until emesis. 

R Chloroformi, fgj. 

Sig. : A few drops inhaled from a handker- 
chief. 

I£ Ferri citratis, 3ij. 

Aquae aurantii flor., f^vss. 
Syrupi simplicis, f3iv. 
Misce. 

Sig. : A teaspoonful to a tablespoonful thrice 
daily between paroxysms. 

Indication: Useful for the anaemic condi- 
tion. 



LARYNGITIS. 

B Olei succini, §iss. 

Olei olivae, q. s. ad Svj. 
Misce. 

Sig. r Rubbed well into parts affected. 

18 



274 Band-Book of Modern Treatment. 

I£ Sodii benzoatis, 3ss. 

Tinet. aconiti, m x. 

Aquae laurocerasi, 3ss. 

Syrupi Tolutani, Sj- 

Syrupi codeinae, §j. 

Aquae destillatae, Sj. 
Misce. 

Sig. : To be taken in divided doses in the 
twenty-four hours. 

Indication: Useful in acute attacks of 
laryngitis and bronchitis. 

IJ Tinct. aconiti, m xl or lxxx. 

Sodii bromidi, 3ij. 

Syr. lactucarii, fgj. 

Aquae destillatae, q. s. ad fBiij- 
Misce. 

Sig. : Dessertspoonful every hour until six 
or eight doses are taken. 

I£ Thymoli, gr. xv. 

Eucalyptol, gr. xx. 

Creosoti, 3ij. 

01 ei gaultheriae, 3j. 

Olei pini sylvestris, 3v. 
Misce. 

Sig. : Take five or six drops four or five 
times daily. 

Indication: Chronic laryngitis. 

I£ Acidi muriat. diluti, f3j. 

Aruminis, 3iss. 

Mellis, fgj. 

Aquae, i%v. 
Misce. 

Sig.: Gargle every four hours. 
Indication: Useful for chronic form in 
children. 

Ifc Tinct. aconiti radicis, m xxx. 

Syrupi limonis, fgss. 

Liq. ammonii acetatis, f§.ij. 
Misce. 

Sig.: A dessertspoonful every three hours. 
Indication: Useful in acute form. 



Hand-BooJc of Modern Treatment. 275 

IJ Menthol, gr. xc. 

Olei pini sylvestris, f3j. 

Olei eucalypti, f3j. 

Tinct. benzoini, f3j. 

Tinct. Tohitani, f3j. 
Misce. 

Sig. : Inhale from a steam kettle or vapor- 
izer. 

I£ Potassii permanganatis, gr. ij. 

Aquae destillatae, f^ij. 
Misce. 

Sig. : Use with atomizer several times daily. 
Indication: Useful in fetid variety of 
chronic laryngitis. 

I£ Menthol, gr. iij. 

Albolenae, f§j. 
Misce. 
Sig.: Use as a spray. 

IJ Potassii iodidi, 3iv- 

Hydrarg. chloridi corrosivi, gr. j. 
Syrupi sarsaparillse compositi, f§ij. 
Aquae, q. s. ad f^vj. 

Misce. 

Sig. : Dessertspoonful three times daily. 

Indication: Used in syphilitic laryngitis. 



LEAD-POISONING. 

R. Strychnines sulphatis, gr. j. 

Confectionis rosae, 3ss. 
Misce et fiant pilulae no. xx. 
Sig. : One pill three times daily. 
Indication: Lead palsy. 

R. Magnesii sulphatis, %]. 

Acidi sulphur ici diluti, f3j. 
Aquae, fgvj 
Misce. 

Sig. : A tablespoonful three times daily pre- 
ceded by five to ten grains of potassium iodide. 



276 Hand-Bool- of Modem Treatment. 



B Acidi sulphuriei, f3j. 

Syrupi acidi citrici, fgiv. 

Sacchari albi, %i\. 

Aquae, fgxxx. 
Misce. 

Sig. : To be taken in small cupfuls twice 
or thrice daily. 

Indication: Used as a preventive. 

R Potassii iodidi, gj. 

Aquae destillatse. fgiij. 
Misce. 

Sig. : A teaspoonful three times daily. 
Indication: Useful in chronic form. 



LENTIGO AND CHLOASMA. 

I£ Hydrarg. chlor. corrosivi, gr. iij. 
Acidi hydrochlor. diluti, 3j. 
Alcoholis, Sj- 
Glycerini, gss. 
Aquae, q. s. ad %i\. 
Sig. : Apply at bedtime and remove with 
sugar water in the morning. 

Ifc Hydrarg. chlor. corrosivi, gr. vj. 

Acidi acetici diluti, oij. 

Boracis, gr. xl. 

Aquas rosae, q. s. ad %iv. 
Misce. 
Sig. : Apply twice daily. 

IJ Acidi citrici, 3ij. 

Ferri sulphatis puri, gr. xviij. 

Camphorae, q. s. 

Aqua? flor. sambuc, §iij. 

Misce. 

Sig. : The camphor is placed in the bottle 
in a lump, undissolved, and used freely. 

I£ Hydroquinone, gr. xlviij. 

Acidi phos. glac, gr. xxx. 

Glycerini, 3ij. 

Aquae destillatae, §vj. 
Misce. 
Sig. : Apply to face. 



Hand-Book of Modern Treatment. 277 



I£ Hydra rg. clilor. corrosivi, gr. xij. 

Acidi hydrochlor. diluti, f3iij. 

Tinct. ainygd. diluti, f-^iss. 

Glycerini, f^j. 

Tinct. benzoini, f 3ij. 

Aqaae flori aurantii, q. s. 
Misce by dissolving the corrosive sublimate 
in three ounces of the orange flower water, 
add the HC1 and set aside. Blanche the bit- 
ter almonds, and bruise them in a mortar, add- 
ing the glycerine and using the pestle vigor- 
ously. Then add nine ounces of orange flower 
water, stirring constantly until a creamy emul- 
sion is the result. Subject this to a violent 
agitation and allow the tincture of benzoin to 
fall into it drop by drop. Then add the mer- 
curial solution, filter, and make up the whole 
to the measure of one pint with more orange 
flower water. 

Sig. : With a fine sponge apply twice daily, 
and after awhile diminish frequency. 

Indication: Useful as an anti-freckle lotion. 

I£ Bismuthi subnitratis, 3ij. 
Ung. simpl., gij. 

Misce. 

Sig. : Apply to the skin at night to remove 
freckles and remove in the morning with a 
little cold cream previous to washing. 

I£ Bismuthi oxidi, 3iv. 

Zinci oxidi, 3iv. 

Glycerini, f§iv. 

Aquae rosse, q. s. ad f^viij. 
Misce. 

Sig.: Shake well, bathe and dry the face, 
and apply with soft cloth twice daily. 

Indication: Used in chloasma of pregnancy. 



LEUCOCYTHiEMIA. 

B Extract! glandula? suprarenalis, 3ij. 
Pone in capsulas no. xxiv. 
Sig.: One capsule two hours after each 
meal. 



278 Hand-Booh of Modern Treatment. 

IJ Acidi nitro-muriatici diluti, f§j. 
Sig. : Ten to twenty drops in a wineglass- 
ful of water thrice daily. 

1^ Liq. potassii arsenitis, f^j. 

Sig. : One drop in water after meals and 
increase until physiological limit is reached, 
then reduce one-half and continue for a long 
period of time. 

I£ Acidi arsenosi, gr. ij. 

Quininse hydrochloratis, gr. xlviij. 

Massge ferri carbonatis, 3iij. 
Misce et fiant pilulae no. lxviij. 
Sig. : One pill after meals. 

LEUCORRH(EA. 

If the discharge is watery the following formula will supply 
a valuable suppository for leucorrhoea: — 

I£ Hydrastininse hydrochloratis, gr. xij. 

Zinci boratis, gr. xij. 

Extracti belladonnse, gr. iij. 

Boroglycerini, 3iv. 
Misce et fiant suppositoria no. xij. 
Sig. : Introduce suppository into vagina at 
bedtime, after using a cleansing douche. 

The following treatment is said to cause considerable im- 
provement in the local symptoms, and in the general condi- 
tion : — 

I£ Quininse hydrobrom., 3ss. 

01. theobrom., 3 v. 
Misce et fiant suppos. no. x. 
Sig.: One suppository is to be inserted into 
the vagina daily. 

I£ Arseni trioxidi, gr. %. 
Ferri reducti, gr. v. 
Quininse sulphatis, gr. xx. 
Misce et fiant pilulae no. xx. 
Sig.: One pill after meals for an adult. 
Indication: Useful in the anaemia that ac- 
companies this condition. 



Hand-Book of Modern Treatment. 279 

I£ Acidi tannici, 3v. 

Alcoholis, 3iij. 

Creosoti, 3ij. 

Aquae, q. s. ad 5iv. 
Misce. 

Sig. : Tea spoonful to a quart of warm water 
as a douche three times a day. 

In an article by Seguirey attention is called to the use of 
lactic acid in neutralizing infectious bacteria in the vagina. He 
demonstrated that douches containing 3 per cent, of lactic acid 
quickly deodorized and diminished the discharge, besides chang- 
ing its color. 

It was found that lactic acid, either pure or in solution, 
caused an abundant desquamation of epithelium when applied to 
the cervix or to the cavity of the uterus, and led to a cure of 
endometritis or endocervicitis with ectropion. 

IJ. Tinct. cinchonas comp., f§ij. 
Tinct. gentianae comp., f^ij. 

Misce. 

Sig. : Dessertspoonful three times daily after 
meals. 

Indication: Useful in the anaemia that ac- 
companies this condition. 

I£ Sodii bicarbonatis, 3j. 

Tinct. belladonnae, f3ij. 

Aquae, Oj. 
Misce. 
Sig. : Use as a vaginal wash. 

I£ Argenti nitratis, gr. xxx. 

Aquae, fgj. 
Misce. 

Sig. : Apply to cervix daily with swab. 
Indication: Ulceration of cervix. 

IJ Zinci sulphatis, 3ss. 

Plumbi acetatis, 3ss. 
Misce. 

Sig.: Put in sufficient water and douche 
once or twice daily. 



280 Hand-BooJc of Modern Treatment. 

]$ Potassii chloratis, gj. 

Sig. : A teaspoonful to a pint of water as a 
vaginal injection. 

Indication: Useful in simple cases. 

IJ Potassii permanganatis, 3ss. 

Aquse, |xv. 
Misce. 
Sig.: Vaginal injection in fetid discharges. 

I£ Aristol, §j. 

Sig. : Apply freely as a dusting powder by 
means of a speculum every second or third day. 

I£ Iodoformi, %]. 

Acidi tannici, §j. 
Misce. 

Sig. : Saturate a tampon with this and 
pack around a discharging uterus. 

1^ Liq. plumbi subacetatis, f§iv. 
Tinct. opii, f§iv. 

Misce. 

Sig. : Tablespoonful to a quart of water 
as a vaginal injection, three times a day, after 
a thorough cleansing douche. 

Indication: Useful in leucorrhcea with acute 
painful vaginitis. 

Landau has found injections of yeast into the vagina of great 
value in leucorrhoea, especially that form due to chronic gonor- 
rhoea. He has employed this treatment in 40 cases, and claims 
that in more than half all traces of discharge ceased after one 
or two applications. In a few cases there was considerable im- 
provement, and in a few cases there was none. Ordinary brew- 
ers' yeast was emp^ed. diluted sufficiently with water so as to 
pass through a gonorrhceal syringe. From 10 to 20 cubic centi- 
meters were thrown into the vagina, a tampon being then intro- 
duced, and the fluid allowed to remain for twenty-four hours. 
This injection was repeated every two or three days, and con- 
tinued for one or more weeks. K"o unpleasant effects were no- 
ticed, except in a couple of cases, in which itching was excited, 
which was relieved by soda injections. The author offers the 



Hand-Book of Modern Treatment. 281 

following explanation of the good effects of the yeast: 1. The 
crowding out of the organisms producing the leucorrhcea by the 
overgrowth of the yeast-fungi. 2. The consumption of nutrient 
substances necessary to the existence of the offending organisms. 
3. The direct action of the metabolic products of the yeast- 
fungi. 



LICE. 

R, Pulv. cocculus Indici, 3j. 

Ung. aquge rosae, gj. 
Misce. 

Sig. : Rub well into the part. 
Indication: Used for pediculi pubis and 
capitis. 

I£ Johnson's ethereal soap, f§v. 

Sig. : Apply freely with hand twice daily 
and then bathe with warm water. 

Indication: Used for pediculi capitis and 
pubis. 

I£ Acidi carbolici (phenolis), 3i-3ij. 

Glycerini, gj. 

Aquae, q. s. ad fgviij. 
Misce. 

Sig. : Apply as a wash. 

Indication: To destroy lice or relieve pru- 
ritis. 

I£ Tinct. delphini, 3ij. 

Aquae colonicusis, 5ij. 
Misce. 

Sig. : Apply night and morning. 
Indication: For pediculi pubis. 

R- Hydra rg. chloridi corrosivi, gr. xv. 
Acidi acetici diluti, fgviij. 
Aquae, q. s. ad gxvj. 

Misce. 

Sig. : Use freely as a wash. 
Indication: Used for pediculi pubis and 
capitis. 



282 Hand-Book of Modern Treatment. 

LOCOMOTOR ATAXIA. 

f£ Liq. potassii arsenitis, §j. 

Sig. : One drop in water three times a day- 
one hour after meals, and increasing daily till 
puffiness below eyes, and then decrease or 
cut down to one-half, and so continue in anae- 
mic subjects. 

IJ Hydrarg. chloridi corrosivi, gr. x / 40 . 
Auri et sodii chloridi, gr. 1 / 30 . 
Zinci sulphidi, gr. x / 20 . 
Strychninae sulphatis, gr. 1 / eo . 

Misce. 

Sig. : To be made into a pill and one such 
taken every three hours. 

Weiss, of Vienna, says that an early symptom of locomotor 
ataxia is an inability of the patient to walk backward, while in 
other ways he may walk w T ith rapidity and certainty. 

I£ Ferri lactatis, gr. xl. 

Ext. cinchonas, 3j. 

Ext. nucis vomicae, gr. viiss. 

Ext. gentianae, q. s. 
Misce et fiant pilulae no. xx. 
Sig. : One or two pills three times a day. 

I£ Antipyrini, §j. 

Syr. zingiberis, fSj. 
Aqua? cinnamomi, q. s. ad f§iv. 
Misce. 

Sig. : A teaspoonful every one to four hours 
for three to six doses. 

Indication: Used in the lightning pain of 
locomotor ataxia. 

I£ Potassii iodidi, §j. 
Aquae bullientis, f^j. 

Misce. 

Sig. : Ten drops in milk three times a day 
and increase until physiological effects are 
manifested. 

Indication: Used in locomotor ataxia re- 
sulting from syphilis or metallic poisoning. 



Hand-Book of Modern Treatment. 283 

I£ Extracti physostigmatis, gr. x. 

Pulv. zingiberis, gr. xx. 
Misce et fiant pilulse no. xx. 
Sig. : One pill three times a day. 

IJ Potassii bromidi, gj. 
Fiant tabellae compressse no. xxiv. 
Sig. : Two tablets every four hours. 
Indication: Used in laryngeal crises. 

Dr. S. Leduc, basing his practice on the theory that the 
syphilitic origin of locomotor ataxia is scarcely contested to-day, 
for a past history of syphilis is found in nearly all ataxics, has 
injected daily into the muscles of the patient's thigh 2 grammes 
— about 30 minims — of the following solution: — 

I£ Hydrarg. chloridi corrosivi, gr. iij. 

Sodii chloridi (recrystalized) , gr. iij. 

Aquse destiilatae, m ccc. 
Misce. 

It is said that amelioration was at once manifest. Treat- 
ment was continued for periods of three weeks, followed by re- 
missions of fifteen days. Six years from the commencement of 
the treatment the patient has lost the knee-jerk, and, although 
some lightning pains persist, he walks well, even at night, and 
leads a very active life. 



LUMBAGO. 

B Sodii salicylatis, gss. 

Potassii iodidi, 3ij. 

Syr. sarsaparillse comp., gj. 

Aquae, q. s. ad giij. 
Misce. 

Sig. : Teaspoonful in water three times a 
day after meals. 

1$. Antipyrini, 3j. 

Sodii salicylatis, 3j. 

Aquse, gij. 
Misce. 
Sig.: One teaspoonful four times daily. 



284 Hand-Book of Modern Treatment. 



The local treatment is important. As a liniment the fol- 
lowing is recommended : — 

IJ Methyl salicylates, §ij. 

Tinct. belladonna?, 5ij- 

Tinct. opii, 5ij- 

Spiritus eamphorse, §iv. 
Misce et fiat linimentum. 

Sig. : Apply locally twice daily with light 
massage. 

I£ Phenacetini, 3ij. 

Saloli, 3ij. 
Misce et fiant chartulse no. xxiv. 
Sig. : One powder every four hours. 

IJ Ammonii chloridi, gr. xx. 

Ammonii carbonatis, gr. v. 
Misce. 
Sig. : At one dose, well diluted in water. 

I£ Ammonii chloridi, 3iij. 

Liq. hydrarg. perchloridi, §ss. 

Spir. chloroformi, §ss. 

Infusi gentianse comp., q. s. ad §vj. 
Misce. 

Sig. : One tablespoonful in water three 
times a day. 

The dose of ammonium chloride in either of these pre- 
scriptions approaches the maximum dose. 

I£ Phenazoni, gr. iij. 

Aquae destillatse, f3j. 
Misce. 

Sig. : Inject deeply with a long needle into 
painful area. 

Indication : Used in obstinate cases. 

I£ Atrophia? sulphatis, gr. iV 5 - 

Morphinse sulphatis, gr. xvj. 

Aquse destillatse, fSj. 
Misce. 

Sig. : Inject five minims deep into the mus- 
cular tissue. 



Hand-Book of Modern Treatment. 285 

1$. Potassii iodidi, 3ss. 

Tinct. opii deod., 3ij. 

Spiritus lavandulae comp., 3j. 

Spiritus aetheris nitrosi, §ss. 

Aquae destillatae, Sxij. 
Misce. 
Sig. : Two tablespoonfuls twice daily. 

Lumbago reaclil} T yields to a vigorous application of the fol- 
lowing ointment : — 

I£ Cauiphor-chloralis, 3j. 

Acidi salicylici, 3ss. 

Menthol, gr. xx. 

Pulv. capsici, 3j. 

01. sinapis, gtt. viij. 

Adipis lanae, 3iv. 

Petrolati, q. s. ad Bij- 
Sig. : Apply with vigorous friction three 
times a day. (Sometimes substitute ol. tiglii 
for ol. sinapis. ) 

3. Tinct. opii, 3ij. 

Aquae ammoniae, 3j. 

Tinct. cantharidis, 3iij. 

Ung. saponis, 3x. 
Misce. 
Sig. : Apply by rubbing thoroughly. 

B Tinct. iodi, 3ij. 

Tinct. aconiti radicis, 3iij. 

Spts. chloroformi, ^ss. 

Linimenti saponis, q. s. ad §iij. 
Misce. 
Sig. : Apply locally several times daily. 

IJ Vini colchici radici, f3ij. 

Sodii salicylatis, 3iv. 

Potassii iodidi, f3ij. 

Essentiae pepsini, f§ij. 

Aquae, f§ss. 
Misce. 

Sig. : A teaspoonful in water after meals. 
Indication : Used in gouty or rheumatic sub- 
jects. 

I£ Empl. belladonnae. 
Sig.: Apply locally. 



286 Hand-Booh of Modern Treatment. 

LUPUS. 

Arthur H. Buck reports a case of lupus vulgaris of twelve 
years' standing treated with urea and cured. The patient was 
one who may be described as having been saturated with tubercle, 
and who possessed the tubercular diathesis to a large degree. 
His habits and diet have been opposed to the cure of any tu- 
bercular trouble, and during the process of treatment these con- 
ditions were not altered in any way. Lupus is perhaps the most 
intractable form of tuberculosis, especially to what are known as 
general or constitutional remedies. The lesion being on the sur- 
face, it was carefully watched, and between April 23d and May 
21st the disease seemed to almost melt away. 'No bad symptoms 
occurred even with urea 1 drachm t.d.s., but, rather, the patient 
felt able to enjoy life for the first time for years. The treatment 
was begun with 30 grains t.d., and gradually increased to a 
drachm. 

IJ.Liquoris potassii arsenitis, fgj. 

Sig. : One drop in water after meals and 
gradually increase to three drops. If puffiness 
of eyelids or colicky pain of bowels develops, 
reduce dose one-half. 

Indication: Used in anaemic and debilitated 
subjects. 

I£ Acidi salicylici, gr. x. 

Collodii flexilis, fgj. 
Mi see. 
Sig. : Apply locally. 

I£ Formaldehydi (40 per cent, sol.), fgj. 

Sig.: Apply to diseased area with a small 
cotton swab, first cocainizing the part. 

Indication: As cauterant. To be applied 
every second or third day after removing scales 
by poultices. 

I£ Olei myrrhse, f^ij. 

Syrupi ferri iodidi, f^sSo 
Misce et pone in capsulas no. xlviij. 
Sig. : One capsule two hours after meals. 
Indication: In debilitated and anaemic sub- 
jects. 



Hand-Book of Modern Treatment. 287 

I£ Acidi salicylici, 3iiss. 

Creosoti, 3v. 

Cerati simp., Siiiss. 

Cerae albi, gr. lxxv. 
Misce. 
Sig. : Use externally. 



MALARIA.— See Fever. 

MAMMARY INFLAMMATION.— See Abscess. 

The treatment in the prevention of mammary abscess 
should really begin during the latter months of pregnancy by 
manipulating and drawing out the nipples and bathing them in 
alcohol or borax- water to harden the epithelium. Absolute 
cleanliness is required; frequent washing of the nipples with 
soap and water, followed by a saturated solution of boric acid, 
keeping gauze pads saturated with this solution wrapped around 
the nipples during the day and sterilized vaseline applied during 
the night. As an application, also, the following combination is 
recommended : — 

IJ Tannici (glycerite), 3ij. 

Alcoholis, 3j. 

Aquae rosse, q. s. ad §iij. 
Misce. 

Sig. : To be applied constantly on sterile 
gauze. 

For the pain give opium or codeine, or morphine hypo- 
dermically if the pain is unbearable, and apply lead-and-opium 
wash locally. Saline cathartics lessen the hyperemia of the 
breasts. Belladonna ointment applied locally often affords com- 
fort. Ice-bags are of great importance, and should be employed 
in order to prevent pus-formation. Support by bandages is 
necessary, employing the figure-of-eight in combination with 
the "straight-around" bandage, making gentle compression as 
well as support. Bacon's method of massage may be employed 
by beginning in the axilla and rubbing under the clavicle, gently 
at first and gradually increasing the pressure. The stroking is 
all directed away from the breast, and not toward it. The pur- 



288 Hand-Book of Modern Treatment. 

pose is to facilitate the flow of the blood and lymph back from 
the breast and to accelerate the flow in the efferent vessels. 

Very useful in acute inflammation with tenseness and of 
pain. Active saline purge at beginning of treatment: — 

I£ Ung. belladonnse, 3j. 
Ung. hydrargyri, 3iv. 
Ichthyoli, f3iv. 
Cerati plumbi subacetatis, 3j. 

Misce. 

Sig. : Apply to breast freely, and employ 
tight breast-binder. 

Indication: Used in acute inflammation, ac- 
companied with tenseness and pain. Give sa- 
line purge at beginning of treatment. 

I£ Ung. belladonnse, Sj- 

Pulv. camphors, 3ss. 
Misce. 

Sig. : Apply locally, supporting the breast 
with a bandage. 

I£ Liq. plumbi subacetatis, gij. 
Tinct. opii, 3ij. 

Misce. 
• Sig. : Add to one quart of water, and keep 
constantly applied to breast on soft cloths. 

Indication: Used to abort acute inflamma- 
tion. Keep the breasts tightly bandaged. 

I£ Hydrarg. chloridi mitis, gr. x. 

Pulv. jalapse, gr. x. 
Sig. : Take at once and at one dose. 
Indication: Useful as a brisk purge for 
incipient mastitis. 

MANIA, ACUTE. 

Any physician who has not employed veratrum viride in 
acute mania has missed the best agency which is availa^e for 
the cure of these distressing cases. It is one of the greatest ad- 
vantages a physician can have to see a feverish sufferer, under 
the application of this remedy, pass from absolute sleeplessness 
into a state of quiet rest. That many cases which would other- 



Hand-BooJc of Modern Treatment. 289 

wise go on to death are saved by the use of this remedy is a fact 
beyond question. The fear which many practitioners have of 
using veratrum viride, on account of the varying strength of its 
various preparations, must, of course, be met, when the drug 
is employed, by the use of Norwood's tincture. 

I£ Fluidextracti cimicifugae, gss. 

Sig. : Twenty minims in water three times 
daily one hour after meals. 

Indication: Used in cases occurring after 
confinement, not due to permanent causes. 

I£ Paraldehydi, fgss. 

Sig. : Thirty to fifty minims in an ounce or 
two of water by the rectum. 

IJ Potassii bromidi, §j. 

Tinct. cannabis Indicae, f3j. 

Syrupi simplicis, f§ij. 

Aquae destillatae, q. s. ad f^iv. 
Misce. 

Sig. : A tablespoonful thrice daily. 
Indication: Used in restlessness and period- 
ical mania. 

R. Hyoscini hydrobromatis, gr. 1 / 100 . 

Sig. : This dose by mouth in pill or hypo- 
dermically. 

Indication: Used to quiet excitement and 
produce sleep in violent cases. 

I£ Trional, 3vj. 

Fiant chartulse no. xij. 

Sig. : One powder at bedtime. 

I£ Glandulae thyroidae siccae. 
Sig. : Five grains three times daily, and this 
treatment continued for twenty to thirty days. 

MARASMUS. 

Arsenic is a drug too little employed in this affection, as 
it is prompt and efficient in selected cases. The arsenate is the 
preferable form of the drug, as given in this form it has a local 

19 



290 Band-Book of Modern Treatment. 

stimulating effect on the mucous membrane of the stomach and 
bowels. The dose of this salt is 1 / 300 of a grain given three 
times a day after feeding. It controls the nausea and enlivens 
the pale mucosa of the stomach, but its good effects do not 
cease here, for it passes into the bowel, and a certain portion, 
being absorbed, is carried to the liver; being again eliminated 
in the bile, it is again absorbed and secreted in the bowels. It 
stimulates absorption and assimilation. It is, moreover, a tonic 
to the general system. 

I£ Syr. ferri iodidi, 3j- 

Sig. : Three to five minims thrice daily after 
meals, well diluted in water. 

IJ Olei morrhuse, f^ij. 

Acaciae, 3iv. 

Extracti pancreati, f3ij. 

Aquae menthae viridis, f^ij. 

Aquae, q. s. ad f^viij. 
Misce. 

Sig. : A teaspoonful three times a day. 
Indication : Used in strumous tubercular in- 
fants. 

I£ Olei morrhuse, f§ij. 
Aquae calcis, f3iv. 
Syr. calcis lactophosphatis, q. s. ad %\v. 

Misce. 

Sig.: A teaspoonful two or three times 
daily. 

Indication : Used in tubercular and stru- 
mous children. 

I£ Olei morrhuae, £xvj. 

Sig. : Anoint the body two or three times 
daily. 

Indication: Useful in struma and atrophy 
from indigestion or improper feeding. 

I£ Hydrarg. cum cretae, 3j. 
Fiant chartulae no. xxx. 

Sig. : One powder three times daily, also 
anoint the body with codliver-oil. 

Indication: Used in syphilitic marasmus. 



Eand-BooJc of Modern Treatment. 291 

MEASLES.— See Fever. 

Administer small initial doses of calomel, preceded by a 
glycerine suppository. The severe vomiting is usually best con- 
trolled by cracked ice, lime-water, or bismuth. The following 
is recommended to increase the elimination by the skin and 
kidneys : — 

I£ Potassii citratis, 3ij. 

Vini ipecacuanhas, 3ij. 

Tinct. opii camph., 3iij. 

Syr. tolutani, 3j. 

Aquae cinnamomi, q. s. ad Biij- 
Misce. 

Sig. : One teaspoonf ul every three hours. 
Indication: For the cough of measles. 

It is stated that good results may be obtained in the treat- 
ment of measles by rubbing the body with a salve, morning and 
night, consisting of : — 

$ Ichthyoli, §j. 

Lardi, §iij. 
Misce. 

This practice was suggested by the favorable results ob- 
tained by the same treatment in variola. Only one or two rub- 
bings seem to be necessary to reduce the temperature to normal, 
when the patches gradually grow pale and disappear. It re- 
quires only four or five days to complete the results, after which 
a warm bath removes what is left of the salve. 

1^ Tinct. opii camph., f3iss. 

Spt. setheris nitrosi, f§j. 

Syrupi ipecacuanhas, f3j. 

Syrupi scillae, f^ss. 

Liq. potassii citratis, q. s. ad f^iij- 
Misce. 

Sig. : Teaspoonf ul every two hours for a 
child of four years. 

Indication: For cough and measles. 

I£ Liq. ferri et ammonii acetatis, fSviij. 
Sig. : Two or three teaspoonfuls after meals. 



292 Hand-Book of Modern Treatment. 

IJ Potassii bromidi, gr. xxiv. 
Chloralis, gr. viij. 
Syrupi acaciae, f3ij. 
Aquae, q. s. ad f^j. 
Misee. 

Sig. : Teaspoonful in water not oftener than 
twenty-four hours. 

Indication: Used for restlessness, insomnia, 
and headache. 

I£ Ammonii chloridi, 3j. 
Syrupi simplicis, §ss. 
Aquse menthae pip., q. s. ad §iij. 
Misce. 

Sig. : A teaspoonful every four hours to a 
child three or four years old. 

Indication: Used as an expectorant when 
bronchitis is present. 



MELANCHOLIA. 

I£ Zinci Valerianae, 3ss. 

Ferri Valeriana?, 3ss. 

Quininae Valerianae, 3ss. 
Misce et fiant pilulae no. xxx. 
Sig. : One pill three times daily. 

R, Acidi nitrohydrochlorici, U. S. P., f3iv. 

Sig. : Two to five drops in one-half glass 
water through a glass tube, after meals. 

Indication: Used in melancholia with oxa- 
luria. 



I£ Olei phosphorati, m xxiv. 

Olei morrhuae, f§j. 
Misce et pone in capsulas no. xxiv. 
Sig. : One capsule two hours after meals. 
Indication: Used in debilitated subjects. 

I£ Paraldehydi, 5j. 

Sig. : Thirty to forty minims at bedtime. 

Indication: Used for relief of insomnia. 



Hand-Book of Modern Treatment. 293 



I£ Tinct. ferri chloridi, fgij. 

Sig. : Ten to fifteen drops through a glass 
tube after meals. Laxatives must be used so 
that constipation does not result. 



MENINGITIS. 

B Ung. Crede, gj. 

Sig. : An inunction of this applied, one 
drachm twice daily. 

1$, Tinct. aconiti, 3ij. 

Sig. : One minim eA T ery hour until pulse be- 
comes soft and compressible. 

Indication: Used in sthenic and early cases. 

Ifc Morphinse sulphatis, gr. ij. 
Aquae destillatae, 3ij. 

Misce. 

Sig. : Five to ten minims hypodermically, 
according to age, as required to relieve rest- 
lessness and insomnia. 

Indication: Used during any period of the 
disease. 



I£ Hydrarg. chloridi mitis, 3j. 

Pulv. jalapae, 3j. 

Sacchari albi, 3j. 
Misce et fiant chartulae no. x. 
Sig. : A powder every hour until free purga- 
tion occurs. 

Indication: In cerebrospinal meningitis. 

I£ Fluidextracti ergotae, f£j. 

Potassii bromidi, 3ij. 

Potassii iodidi, 3ij. 

Syrupi sarsaparillae, fBij. 

Aquas compositae, q. s. ad fgvj. 
Misce. 

Sig.: Two teaspoonfuls in water after 
meals. 

Indication: Used in chronic meningitis. 



294 Hand-Book of Modern Treatment. 

R. Sodii bromidi, 3ij. 

Chlorali hydrati, 3j. 

Syr. aurantii corticis, f§j. 

Aquae, q. s. ad §iij. 
Misce. 

Sig. : A dessertspoonful every hour until 
excitement abates. 

MENOPAUSE. 

I£ Zinei valeralis, gr. 3 / 6 . 

Extracti hyoscyami, gr. V 3 . 

Extracti belladonnas, gr. 7 6 - 
Misce et fiat pilula no. j. 
Sig. : One such pill three times daily. 

R. Camphor® monobromatse, gr. iss. 

Quinin® valeralis, gr. iss. 

Extracti hyoscyami, gr. 7 3 - 

Extracti belladonna, gr. Ve- 
Misce et fiat pilula no. j. 
Sig.: Four or five pills daily. 
Indication: Either of the above for nervous 
excitement and neuralgia. 

I£ Ammonii bromidi, 3ij. 

Potassii bromidi, 3iv. 

Spt. ammoni® aromatici, 3vj. 

Aquae camphor®, q. s. ad Svj. 
Misce. 

Sig. : A dessertspoonful every four hours. 
Indication : Nervousness. 

Gottsclialk recommends, from personal observation in a 
number of cases, hot baths as a means of relieving the sweat- 
ing and hot flushes and associated disturbances occurring at the 
menopause or after removal of the uterus or adnexa. The hot 
baths are administered at bed- time, duration twenty minutes. 
Three or four weeks' treatment was sufficient to effect a cure. 
He does not state exactly what temperatures were employed, but 
baths at 92° to 96° are best for these cases. Carefully-gradu- 
ated tonic treatment, consisting of wet-hand rubbing, cold fric- 
tion, the friction-mitt, cold wet-towel rubbing, and like measures 
are of great service. 



Hand-Book of Modern Treatment. 295 



1$. Ammonii bromidi, 3ij. 

Potassii bromidi, 3iv. 

Spts. ammon. aromat., f3vj. 

Aquae caniphorae, q. s. ad f§vj. 
Misce. 

Sig. : Dessertspoonful to a tablespoonf ul 
every four hours. 

Ifc Sodii arsenatis, gr. ss. 

Extracti cannabis Indicae, gr. iv. 

Potassii bromidi, 3iv. 

Camphorae, gr. xxiv. 
Misce et fiant tabellae compressae no. xxiv. 
Indication: For relief of headache and 
nervousness. 

Sig. : One tablet after meals. 



MENORRHAGIA AND METRORRHAGIA. 

The coagulating properties of calcium chloride have been 
utilized by a French confrere as a prophylactic measure against 
menorrhagia, in the cases in which the menstruation is pain- 
less, but the flow excessive. He prescribes for a week before the 
expected period two tablespoonf uls a day of the following: — 

I£ Calcii chloridi, 3iiss. 

Syrupi, 3xv. 

Aquae, Bvj. 
Misce. 
Sig. : Two tablespoonfuls a day. 

This treatment, repeated each month for two or three times, 
has always cured the pathological excess of the menstrual flow. 
Nephritis is a contraindication. 

The enterorrhagia in typhoid fever is also favorably affected 
by calcium chloride. Mathieu reports eight cases successfully 
treated by an injection, once or twice a clay, of a liter of water 
at 48° C. containing 4 grammes of calcium chloride, supple- 
mented by 2 grammes administered by the mouth in an aqueous 
solution during the day, and measures to immobilize the intes- 
tines. These hot injections clear the intestines of extravasated 
blood, and thus suppress a new source of intoxication and fever. 



296 Eand-Book of Modem Treatment. 

1$, Fluidextracti hydrastis Canadensis, Sj- 

Ergotin, 3j. 
Misce. 

Sig. : Twenty drops three or four times a 
day. 

IJ Hydrastininae hydrochloratis, gr. x. 

Aquae destillatae, 3iiss. 
Misce. 

Sig.: Inject one syringe (gr. j) two or 
three days in succession. 

IJ Quininae hydrobromatis, gr. ij. 

Hydrastininae hydrochloratis, gr. ss. 

Ergotin, gr. j. 
Misce et fiat pilula no. j. 
Sig. : Two such pills daily. 
Indication: Metrorrhagia from fibroma. 

These pills can be prescribed for ten days. The ten fol- 
lowing days recourse can be had to cannabis Indica or adrenalin. 
The latter has frequently succeeded — 10 drops of the 1 to 1000 
solution morning and evening. Sometimes accidents occur: 
sensation of anguish and cardiac arh} r thmia. The treatment 
should be carefully watched, and suspended on the slightest un- 
favorable symptoms. 

IJ Codeinae sulphatis, gr. %. 

Chloralis hydratis, gr. xv. 

Ammon. bromidi, gr. xv. 

Aquae camphorae, 3j- 
Misce. 

Sig. : To be taken while lying down. 
Indication: Painful menstruation. 

IJ Fluidextracti hydrastis, 3iiss. 
Fluidextracti hamamelis, 3iiss. 
Fluidextracti viburnum, 3i%. 
Misce. 

Sig. : Twenty drops in a little water three 
times a day. 

Indication: Useful in abundant metror- 
rhagia and menorrhagia, 



Hand-Book of Modern Treatment. 297 

In the treatment of menorrhagia in virgins fifteen minims 
of the fluid extract of senecio in a hot infusion of lemons is 
often effective. As soon as the menstrual period appears the 
patient is put to bed, poultices containing laudanum applied to 
the abdomen, and suppositories containing the following in- 
serted : — 

I£ Ext. cannabis Indict, gr. V 15 . 
Ext. belladonna, gr. Vis- 
Olei theobroni., q. s. 
Misce et fiat suppositoria no. j. 
Sig. : One such suppository inserted as often 
as necessary. 

As a substitute for the foregoing suppository enemata con- 
taining laudanum are recommended, or the following: — 

I£ Tinct. viburni prunifolii, gtt. x. 
Tinct. piscidise erythinse, gtt. x. 
Misce. 

Sig.: To be taken at one dose in a hot in- 
fusion. 

For the accompanying lumbar pains the following ointment 
is recommended: — 

R Spts. chloroformi, 3iiss. 

Olei moschi, 3j. 

Essentia caryophilli, 3j. 

Spts. etheris, 3iv. 

Alcoholis, §iij. 
Misce. 

Sig. : To be applied locally to the lumbar 
region with thorough friction. 

R Fluidextracti ergotse, f^iij. 
Sig.: One-half to one teaspoonful thrice 
daily. 

I£ Potassii bromidi, 3ij. 

Fiant chartulse no. xij. 

Sig. : One powder in one-half glass of water 
twice daily for the irregular flow. Begin be- 
fore period and continue till it is over. 



298 Band-Book of Modern Treatment. 

I£ Stypticus, gr. xxx. 

Pone in capsulas no. xxx. 

Sig. : One capsule three times daily for sev- 
eral days before period and when flow slows; 
one grain every two or three hours during the 
period. 

1$, Olei cinnamomi, f3j. 

Pone in capsulas no. xxx. 

Sig. : One capsule after meals. 

Indication: Useful in oozing haemorrhage. 



MERCURIALISM.— See Ptyalism. 
METRITIS. 

I£ Camphorae, gr. xv. 

Phenylis salicylatis, gr. xv. 
Olei betulse, m xxx. 
Chlorali hydrati, gr. lxxv. 
Misce et facit applic. 

Sig. : Dilate cervical cavity and apply this 
antiseptic treatment. Make hot injections, 
thoroughly cleansing the parts before this ap- 
plication. 

The symptoms calling for belladonna in inflammation of 
the uterus are distended abdomen, with pains of a lancinating 
character, or as if the intestines were clasped by some sharp 
claws; painful pressure, as if everything would protrude 
through the vulva; abdomen very sensitive to contact; face 
red, with heat about the head and eyes; pressive headache, 
throbbing carotids ; pains in small of back as if it were broken ; 
lochia suppressed, or, if there is a discharge, it is free and 
offensive. 

I£ Tinct. iodi comp., fgj. 

Sig.: Use locally on a probe wrapped with 
absorbent cotton, once or twice weekly. Two 
applications are made and a glycerine tampon 
is left against the cervix. In the intervals let 
the patient use hot water as a vaginal injec- 
tion twice daily. 



Hand-Book of Modern Treatment. 299 



MIGRAINE.— See Headache. 

I£ Sodii sulph., 3ss. 

Sodii salicylatis, gr. x. 
Mag. sulph., gr. 1. 
Lithii benzoatis, gr. v. 
Tinct. nucis vom., m iij. 
Aquse destillatae, 5iv. 
Misce. 

Sig. : To be placed in a siphon bottle and 
carbonated, and a small amount, sufficient to 
produce a laxative effect, taken daily before 
breakfast, and dose is to be regulated by ca- 
thartic effect. Active purgation is not desired. 

I£ Caffeinse, gr. iv. 

Sodii salicylici, gr. viij. 

Cocainae hydrochl., gr. 1 / 3 . 

Aquse, gj. 

Syrupi simpl., Siiss. 
Misce. 

Sig. : To be taken at once. 
Indication: Especially active where trigem- 
inal neuralgia accompanies the migraine. 

For the distressing nausea and vomiting :— 



I£ Tinct. zingiberis, 3j. 

Tinct. capsici, gtt. xxxvj. 

Syrupi zingiberis, §ss. 

Aquae menth. pip., ad §iij. 
Misce. 

Sig. : Two teaspoonfuls at dose as conditions 
indicate. 

Ifc Zinci phosphidi, gr. V l0 . 
Ferri reducti, gr. j. 
Ext. nucis vomicae, gr. 1 / 4 . 
Ext. cannabis Indicae, gr. V 4 . 
Misce et fiat pilula no. j. 
Sig. : One pill three times daily for one 
month. Then alternate for two weeks with 
some nerve tonic, after which use the pill for 
another month, and so on. 



300 Hand-Booh of Modern Treatment. 

I£ Ext. cannabis Indicse, gr. t / Q . 
Acidi arseniosi, gr. x / m . 
Ferri pulv., gr. j. 
Misce et fiat pilula no. j. 
Sig. : One pill three times a day. 
Indication: Useful in migraine accompany- 
ing anaemia. 



If an attack occurs during menstruation a sitz-bath should 
be taken and the following given internally: — 

B Spts. chloroformi, 3ij. 

Spts. amnion, arom., 3ij. 

Tinct. card, co., 3ij. 

Liq. ammon. acet., q. s. ad §iij. 
Misce. 

Sig. : Two teaspoonfuls and repeat in two 
hours if necessary. 



Citrophen, according to the author, acts admirably in some 
of these cases. 



I£ Acetanilidi, gr. xx. 

Camphor* monobromatas, gr. v. 

Caffeinae citratse, xl. 
Misce et pone in capsulas no. xl. 
Sig.: One capsule followed by others as 
necessary. 



R. Crotonchloralis, 3j. 
Pone in capsulas no. xij. 
Sig. : One capsule every four hours. 
Indication: Used in neuralgia of fifth nerve, 
not due to decayed tooth. 

1^ Ext. aconiti ale, 3.j\ 

Adipis, 3ij. 
Fiat unguentum. 
Sig. : Rub into affected temple every night. 



Hand-Book of Modern Treatment. 301 



IJ Ext. belladonnse, gr. v. 
Sig. : To be rubbed into the affected temple 
every night. 

IJ Potassii acetatis, §^j. 
Infusi digitalis, f^vj. 
Misce. 
Sig. : A tablespoonful every third hour. 

IJ Quininse valerianatis, gr. xv. 

Ext. colchici, gr. iv. 

Extracti digitalis, gr. iv. 

Extracti aconiti, gr. ij. 
Misce et fiant pilulse no. x. 
Sig.: One at night after evening meal. 
Indication: Gouty migraine. 

IJ Sodii phenolsulphonatis, gr. v. 
Potassii permanganatis, gr. j. 
Betanaphtholis, gr. j. 
Misce et fiat pilula no. j, and coat with 
phenyl salicylate to insure entrance into the 
bowel before being dissolved. 

Indication: Useful in intestinal fermenta- 
tion when accompanied with migraine. 



MORNING SICKNESS.— See Vomiting. 
MOUTH-WASH. 

B SaloH. 3j. 

Tinct. catechu, 3ij. 

Spiritus menthse pip., §vij. 
Misce. 

Sig. : Use a teaspoonful to a glass of warm 
water. 

Indication: Mouth-wash for smokers. 

IJ Tinct, calendulas, Siss. 

Phenolis, gr. xl. 

Aquae, q. s. ad §viij. 
Misce. 
Sig. : Use as necessary. 



302 Hand-Book of Modern Treatment. 

1$ Acidi thymici, gr. iij. 
Acidi benzoici, gr. xlv. 
Ess. menthse pip., m x. 
Tinct. eucalypti, 3ivss. 
Alcoholis, Siij- 
Misce. 

Sig. : Put a sufficient amount in the glass 
of water to render the water milky and use as 
a mouth-wash. 



IJ Acidi tannici, 3iij. 

Mentholis, 3ij. 

Thymolis, gr. xv. 

Tinct. benzoini, 3iss. 

Alcoholis, §iij. 
Misce. 

Sig. : Ten drops in half a glass of tepid 
water. 



Ifc Olei menthse pip., vn xxx. 
Olei elavi, m xv. 
Olei gaultheria, m xv. 
Glycerini, Sss. 
Aquae destillata^, q. s. ad giij. 

Misce. 

Sig. : Use as necessary. 

Indication: Mouth-wash for children suffer- 
ing with infantile diarrhoea, before feeding. 



For the first six weeks the infant's mouth should be washed 
before nursing and also after nursing, unless asleep, with a soft, 
small square of linen dipped in water. No square should be 
used more than twice, or at another nursing. By the time the 
child is three or four months old it will suffice to wash the 
mouth twice a day. During dentition, however, it should be 
frequently washed out with cold water. As long as the child 
subsists on milk and broths the teeth need cleansing with a 
bit of wet linen only; when solid food is taken a soft, fine 
tooth-brush should be used. The following makes a suitable 
powder : — 



Rand-Booh of Modern Treatment. 303 



P> Pulv. oss. sepiss, 3v. 
Magnesii carb., 3v. 
Pulv. rad. iridis nor., 3ss. 
01. menth. pip., gtt. iij. 

Misce. 

Sig. : Tooth powder. Pinse the mouth well 
after using. 

P* Acidi borici, 3ss. 

Aquae hydrogeni dioxidi, 3j. 

Glycerini, §ss. 

Aquae rosse, q. s. ad 3iij. 
Misce. 
Sig. : Use before and after feeding. 



MUMPS. 

P* Guaiacolis, 3j. 

Vaselini, 3x. 

Adipis lanse hydrosi, 3x. 
Misce et fiat unguentum. 
Sig. : Use morning and evening. 
Indication: Useful for the pain in mumps. 

P* Ichthyolis, gr. xlv. 
Plumbi iodidi, gr. xlv. 
Ammon. chloridi, gr. xxx. 
Adipis lanse hydrosi, Sj- 
]\tisce et fiat unguentum. 
Sig. : Apply to swollen part three times 
daily. Vaseline may be used instead of lard 
and belladonnas added. 

P* Tinct. aconiti, 3j. 

Sig. : One minim every two hours during 
first twenty-four to thirty-six hours. 

P* Pilocarpine hydrochloratis, gr. j. 

Sacchari lactis, gr. xviij. 

Alcohol, q. s. 
Misce. 

Fiant tabellae triturationes no. xij. 
Sig.: One tablet every hour until mild sali- 
vation or diaphoresis. 

Indication: Used in the acute stage. 



304 Hand-Book of Modern Treatment. 



MYALGIA. 

"We know a large number of affections better clinically 
than pathologically," says Dr. A. A. Eshner, and continuing, 
has this to say : "One of these is that condition of peripheral 
soreness or painfulness, sometimes an affection of the muscles 
themselves or their fibrous sheaths, sometimes involving the 
peripheral sensory nerves. In the absence of definite knowledge 
as to the precise nature of cases of the kind referred to, I am in 
the habit of grouping them together under the common desig- 
nation of myalgia; and have found the following formula of 
service in the treatment of a large number of cases : — 

I£ Fluidextracti cimicifugse, §ss. 

Fluidextraeti erythroxyli §ss. 

Tinct. guaiac. ammon., 3ss. 
Misee. 

Sig. : A teaspoonful three times a day before 
meals. 



"When constipation co-exists, an equal proportion of fluid 
extract of cascara is added. I can warmly commend the em- 
ployment of this combination under the conditions indicated." 

I£ Tinct. belladonnas, f3iss. 

Tinct. aconiti, f3vj. 

Tinct. opii, f3ij. 

Linimenti saponis, q. s. ad f§vj. 
Misee. 

Sig.: To be used externally and only as a 
liniment. 



R Linimenti beiladonnse, §v. 

Sig. : Rub in thoroughly several times daily. 

B Saloli, 3iv. 

Phenacetini, 3iv. 
Misee et fiant chartulse no. xxiv. 
Sig. : One powder after meals. 



Hand-Book of Modern Treatment. 305 



MYXCEDEMA. 

R Glandulse thyroidese siccse, 3j. 
Fiant tabellse compressae no. xij. 
Sig. : One to three tablets daily. Dose to be 
determined. 



N-ffiVUS. 

R Sodii ethylatis, gr. vj. 
Alcoholis absoluti, f3ij. 

Misce. 

Sig. : Paint over nsevus freely, and after 
drying cover with collodion. Allow to remain 
on ten to twenty days. 

Indication: Used to remove small birth 
marks. 



NASAL CATARRH.— See Catarrh. 



NEPHRITIS. 

R Tinct. aconiti, m xij. 

Spiritus setheris nitrosi, f3vj. 

Syrupi, f3ij. 

Liq. potassii citratis. q. s. ad f^iij- 
Misce. 

Sig. : Teaspoonful in water every two hours. 
Indication: To be used in early stage. 

R Potassii acetatis, §ss. 
Infusi digitalis, f^vj. 

Misce. 

Sig. : Tablespoonful in a glass of water 
every six to eight hours. 

Indication : Used in late stages of acute or 
in chronic nephritis. 

R Liq. ferri et ammonii acetatis, f^viij. 

Sig. : One to four teaspoonfuls in water 
after meals. 

Indication: Used for anaemia in chronic 
form. 

20 



306 Eand-Book of Modem Treatment. 



I£ Hydrarg. chloridi mitis, gr. j. 

Sodii bicarbonatis, gr. x. 
Misce et fiant chartulse no. vj. 
Sig. : One powder every one-half hour, to be 
followed by mag. sulphate. 

Indication: Purging good at the beginning. 

R. Spiritus glonoini, f3ij. 

Sig. : One drop every four hours. 

Indication: Used as a diuretic in later 
stages of acute and in chronic nephritis with 
high arterial tension. 

IJ Fluidextracti jaborandi, f3j. 

Sig.: Five to ten minims every hour until a 
free diaphoresis is established. May be com- 
bined with digitalis. 

1$ Pulv. jalapse comp., 3j. 

Fiant chartulae no. xij. 

Sig. : One powder every four hours until 
free catharsis occurs. To be given after patient 
has been rolled in blankets wrung out of hot 
water. 

Indication: In acute nephritis. 



CHRONIC INTERSTITIAL NEPHRITIS. 

Dr. .George F. Butler, in discussing the treatment of 
chronic interstitial nephritis, says that drug therapeusis has its 
place, it is true, but after all, the little, yet very essential things 
of eating, drinking, and doing influence the patient's comfort 
and gradually turn the scale of health in his favor. A good pre- 
scription to keep the patient on is the following: — 

1$ Sodii iodidi, gr. xv-xxx. 

Sodii phosphatis, gr. xxx-xlv. 

Sodii chloridi, 3iss. 

Aquse, Oij. 
Misce. 

This can be taken freely as a drink. The author states 
that besides being a good eliminant, the iodine is a vasodilator 



Eand-Book of Modem Treatment. 307 

and of great value in progressive lessening of elasticity and 
contraction of the smaller arteries. Moreover, this combina- 
tion modifies the state of albuminoid substances in the blood. 
For failure of compensation, digitalin may be necessary, but it 
should be combined with some vasodilator (sodium nitrate, 
spirit of nitrous ether, or glonoin, as well as the iodides and 
opium). The objection to the nitrites is that they are much 
more rapid in their action than digitalin, while their effect is 
more transitory. In severe cases he is very partial to opium, 
as it not only strengthens the heart but dilates the arterioles, 
the dose of the deodorized tincture being from 2 to 4 minims. 

Dr. Butler lays particular stress on veratrine in doses of 
V134 grain as a vasodilator, and considers that it surpasses 
them all; he says that it is not a depressant as so many physi- 
cians believe, and that its action is uniform, and its effects cer- 
tain and unvaried; in addition, it is a stimulant to excretion; 
the dose given alone can be repeated every half-hour until the 
pulse is relaxed. He also discusses the combative measures for 
anasarca, dyspnoea, convulsions, and other uramiic symptoms. 
Eef erring to purgatives, the author states that they fulfill three 
indications, viz. : ( 1 ) in determining an irritation upon the 
intestinal mucous membrane, they produce a revulsion from the 
inflamed kidney; (2) in bringing about a hypersecretion from 
the glands of the intestines, they deplete the vascular system 
and thus combat the anasarca and oedema; (3) they enable 
the solid and toxic matters of the urine, in cases of uraemia, to 
find a supplementary way of excretion. 

Moore recommends the following, which has given him 
excellent results in increasing elimination and overcoming the 
drowsiness of impending uramiic coma : — 

I£ Sodii benzoatis, 3iv. 
Tinct. limonis, %]. 
Aquae destillatse, q. s. ad Svj. 
Misce. 

Sig. : Tablespoonful in half-glassful of hot 
water on arising in the morning, or as re- 
quired. 



308 Hand-Book of Modern Treatment. 

1$ Pilocarpine hydrochloratis, gr. 1 / 6 . 

Mucilaginis acacise, §iij. 
Misce. 

Sig. : Three to six tablespoohfuls a day. 
Indication: A diaphoretic in nephritis when 
uraemia is imminent. 

Although the dose is small, the drug thus given will stim- 
ulate perspiration while causing no unpleasant symptoms. 

Dr. Harry Lowenburg recommends the free ingestion 
of water for preventing scarlatinal nephritis. By increasing 
the amount of urine, it dilutes the toxins present and dimin- 
ishes the acidity, thereby lessening kidney-irritation. The 
elimination of toxins is also facilitated, in that it stimulates 
catharsis and diaphoresis. The author employs water by 
mouth, by balneotherap}^, and by enteroclysis, and states that 
the combination of those methods is essential to obtain the 
best results. He prescribes a definite amount to be given be- 
tween feedings with as much regularity as the food. To induce 
the patient to take a certain quantity he gives it in the form of 
lemonade or orangeade, and often adds a teaspoonful of potas- 
sium bitartrate to a pint of either. 

Hot-water irrigation of the bowels should be employed 
whenever the quantity of urine is diminished or when convul- 
sions occur. In a child aged 3 years, 500 to 700 cubic centi- 
meters of water at a temperature of 43° C. should be introduced 
by means of a rectal tube passed into the rectum for a distance 
of 2 1 / 2 millimeters. If the water is returned at once the 
process is repeated, and irrigation should be performed every six 
or eight hours. After three or four administrations the kidneys 
begin to act, and abundant diuresis takes place. 

G-. Gross recommends calcium chloride administered per 
rectum in the treatment of hemorrhagic nephritis, also in cases 
of inoperable uterine carcinoma with profuse haemorrhages. 
After giving a cleansing enema the salt may be given as fol- 
lows : — 

I£ Calcii chloridi, 3iiss. 

Aquae destillatse, ^viss. 
Misce. 

Sig. : The entire amount administered per 
rectum. 



Eand-Book of Modern Treatment. 309 

The same may be given by the mouth as follows : — 

I£ Calcii chloridi, 3j. 

Syr. menth. pip., 3j- 

Aquae destillatse, §iij. 
Misee. 
Sig. : One tablespoonful every two hours. 

IJ Caffeinse citratis, 3j. 
Pone in capsulas no. xx. 
Sig. : One after meals. 

Indication: Used as a diuretic in later 
stages of acute and in chronic nephritis. 

NERVOUSNESS.— See Hysteria. 

NETTLE RASH.— See Urticaria. 

NEURALGIA. 

I£ Quininse valerianatis, gr. iss. 

Ext. hyoscyami, gr. 3 / 10 . 

Ext. cinchonse, gr. 3 / 4 . 
Misce et fiat pilula no. j. 
Sig. : Take two to four such pills daily. 

I£ Chloralis, 3j. 
Camphorse, 3j. 
Mentholis, 3j. 
Misce. 

Sig. : With a brush spread a layer of this 
mixture (which is liquid) over the painful 
parts. Renew the application when the pain 
reappears. 

Indication: Useful in intercostal neuralgia. 

R< Emplastri belladonnse (3x3 inches). 

Sig. : Apply to part affected. 
Indication: Intercostal neuralgia. 

R< Camphorse monobromidi. gr. iss. 

Pulv. capsici, gr. ij. 

Confectionis rosse, q. s. ad pilula no. j. 
Sig. : As required. 
Indication: Ovarian headache. 



310 Hand-Book of Modern Treatment. 

IJ Butyl-chloralis, gr. ij. 

Caffeinge, gr. ij. 

Ext. gentianae, q. s. 
Misce et fiat pilula no. j. 
Sig. : One every third hour. 
Indication: Headache and neuralgia. 

IJ Potassii iodidi, 3iv. 

Saloli, 3ij. 
Misce et fiant tabellse compressse no. xxiv. 
Sig. : One tablet after each meal. 
Indication: In rheumatic subjects. 

IJ Olei gaultherise, m xx. 
Guaiacoli, m xx. 
Camphorse, gr. xv. 
Mentholis, gr. xv. 
Olei clavi, m v. 
Glycerini, 3j. 
Petrolati, 3j. 
Cerati, 3j. 

Adipis lanse hydrosi, 3j. 
Misce. 

Sig.: A small quantity to be rubbed in over 
seat of pain. This is also useful in painful 
finger-joints due to gout. 

IJ Phenacetinse, gr. xlv. 

Antipyrinse, gr. xlv. 

Quininse sulphatis, gr. xv. 
Misce et fiant chartulse no. vj. 
Sig. : One or two powders daily. 
Indication : Trigeminal neuralgia. 

IJ Antipyrinse, gr. xxx-3|. 

Caff ei 1193 citratse, gr. xx. 
Misce et fiant chartulse no. x. 
Sig. : One every thirty minutes till relieved. 

IJ Atropinse sulphatis, gr. ss. 

Aconitinse, gr. iss. 

Olei tiglii, gtt. ij. 

Ung. petrolati, 3ij. 
Misce. 
Sig. : Apply to affected part. 



Rand-Book of Modern Treatment. 311 



IJ Antipyrinse, gr. xxx. 

Caffeinse citratse, gr. x. 

Potassii bromidi, 3iij. 
Misce et fiant chartula^ no. x. 
Sig. : One every half -hour until relieved. 



Castor-oil is advised for neuralgia and especially for the 
severe forms affecting the fifth nerve. One to 2 ounces are given 
three or four times a day. After two or three doses have been 
given the purgative effect is said to be lost, or, if not, an opiate 
is advised to prevent too great action upon the bowels. It is 
claimed by Dr. F. E. Waxham, whose attention was directed to 
the remedy by Dr. Moyer, that its curative action is constitu- 
tional, and not due to the effect upon the intestinal tract. 

Dr. Henry Treve Barber describes a chronic and very severe 
case in which aconitine produced an excellent effect: — 

"Being convinced that I had to do with a very severe case 
of tic douloureux, I ordered her to take one granule containing 
y i0 milligramme of aconitine every four hours, and I was 
rather surprised to see that, after she had taken five, the pains 
were less than they had been for some time. In three days she 
had taken ten granules and was very much better and able to 
sleep. I then stopped the aconitine and gave her: — 

IJ Ferri sulphatis exsiccati, gr. viiss. 

Ext. anthemidis, gr. viiss. 
Misce et fiant pilule no. ij. 

Of which she took two a day : one after each meal. 

"Aften ten days of this treatment the pains had almost 
left her, and the patient declared that the medicine was acting, 
for at night she would suddenly awake with a very acute, sharp, 
stabbing pain, which she said always came on whenever the 
pains were about to get better. These twinges would pass off in 
a few seconds, and she would then sleep until morning, and dur- 
ing the day the pain was very much better. In two or three 
weeks she was entirely free from pain, and still continued to 
take the pills." 



312 Hand-BooTc of Modem Treatment. 

IJ Tinct. aconiti radicis, 3j. 

Tinct. colchici seminis, 3j. 

Tinct. belladonna?, 3j. 
Misce. 

Sig. : Six drops in water every six hours. 
Indication: Facial neuralgia. 

I£ Ichthyoli, 3j. 

Ung. hydrargyri, 3j. 

Chloroformi, 3vj. 

Spts. camphorae, 3vj. 
Misce. 

Sig. : Shake well before using and rub over 
the affected part. 

1$ Thymoli, gr. xx. 

Fluidextracti aconiti, 3ij. 

Alcoholis, %]. 
Misce. 

Sig. : Paint over painful area and cover with 
a cotton compress and oiled silk. 
Indication: For facial neuralgia. 

Ifc Croton-chloralis, 3j. 

Pone in capsulas no. xx. 

Sig. : One capsule every two hours until re- 
lieved from pain. 

Indication: Used for relief of pain in neu- 
ralgia of the fifth nerve. 

1$ Tinct. cannabis Indicae, f3vj. 
Syrupi acaciae, f3iss. 
Aquae destillatae, q. s. ad fgvj. 
Misce. 

Sig. : A tablespoonful every four to six 
hours. 

Indication: In sciatica. 

B Thymoli, 3j. 
Camphorae, 3j. 
Alcoholis, fgj. 
Misce. 

Sig. : Apply over painful area with a brush. 
Indication: Used in neuralgia of superficial 
nerve. 



Hand-Book of Modern Treatment. 313 

I£ Olei ricini, §iij. 

Olei cinnamomi, m v. 

Misce et pone in capsulas no. xxiv. 

Sig. : Four capsules at bedtime every second 
or third night. 

Indication: Castor oil has been found valu- 
able in the treatment of many persistent and 
severe forms of neuralgia, as well as in acute 
cases. If patient desires, the oil may be given 
floated upon coffee, soda water, or beer, instead 
of in capsules. 

IJ Ferri reducti, gr. c. 

Acidi arsenosi, gr. iv. 

Phosphor i, gr. j. 

Ext. nucis vomicae, gr. xxv. 
Misce et fiant pilulae no. c. 
Sig. : One pill after each meal. 
Indication: Used in anaemic and debilitated 



NEURASTHENIA. 

Pitres describes the mental state of the neurasthenic ac- 
cording to the ideas of Dr. de Fleury. The patient is con- 
tinually lamenting, watching himself minutely, and trying to 
analyze and to explain each trifling change noted. He is affected 
by his present ills ; fears those to come ; is sad, timid, discour- 
aged, and at times melancholic. The cause of this condition 
is fatigue, either from overwork or from some previous illness. 
These cases show a loss of will-power and of action. Both mus- 
cular exercise and prolonged thought or attention are impos- 
sible. Lassitude and pessimism result. Suggestion has no in- 
fluence upon his state of mind, but the weather, stimulants, time 
of day, etc., show their effects. Dr. Fleury considers this a con- 
dition of true fatigue, due to a diminution of vital force. The 
gray matter, from excessive sensation or some intoxication, 
shows hypovitality and a marked decrease in functional power. 
The neurons are but half-awake to stimuli. The psychical state 
of the neurasthenic is but the expression of the reduced physical 
condition. Thus the distinction from hysteria is plain, for in 
hysteria the idea, purely psychical, is diseased, the body remain- 



314 Hand-Book of Modern Treatment. 

ing unaffected. So in the treatment of hysteria hypnotism 
works wonders, while rest, tonics, and hygiene will cure neu- 
rasthenia. 

The standard for the success of our treatment is the ques- 
tion whether the color of our patient is improving and later 
whether the flesh is becoming firmer and the weight increas- 
ing. Patients have been known to gain as much as forty pounds 
in twelve weeks' time, and Mitchell regards gain in weight as 
the most valuable index of a successful treatment. He considers 
it of more value than the persistence of backache, headache, or 
other general nervous feeling. These symptoms in the majority 
of cases grow fainter and fainter until they disappear. Where 
these S}anptoms appear to be permanent, it is undoubtedly true 
that actual changes have taken place in the nerve-cells. 

For the neurasthenic condition, as a tonic I prefer strych- 
nine sulphate, Vie or V20 grain before meals, and after meals 
give :— 



IJ Hydrargyri chloridi corrosivi, gr. V 3 

Acidi phosphorici ( U. S. P. ) , m iv. 

Liq. potassii arsenitis, m ij. 

Tinct. ferri chloridi, m x. 

Syrupi limonis, q. s. ad 3j. 
Misce. 
Sig. : One dose after meals. 



Applications of cold water with friction with palm of hand 
to chest, abdomen, and back daily are very stimulating. Full 
warm bath at bed-time for sleeplessness, followed by brisk, cold 
rubbing;. 



R. Asafcetidse, 3j. 

Acidi arseniosi, gr. ss. 

Strychnine sulphatis, gr. ss. 

Ext. sumbul, ©iss. 

Ferri subcarbonatis, ©ij. 

Quininse valerianatis, 9j. 
Misce et pone in capsulas no. xxiv. 
Sig.: One capsule after each meal. 



Hand-Book of Modern Treatment. 315 

The diet must be regulated with particular attention to 
the blood-pressure. For high tension, a milk diet is given with 
massage and warm vapor baths, and liquids at meals are pro- 
hibited. For low tension, good food, meat, regulated exercise, 
baths, rest, deep massage, saline injections, and oxygen inhala- 
tions are prescribed. 

IJ Tinct. nucis vomicae, m iv. 

Acidi phosp. diluti, m iv. 

Glycerini, m x. 

Fluidextracti gentianae, m ij. 

Alcoholis diluti, m xv. 

Vini xerici, q. s. ad f3j. 
Misce. 

Sig. : One teaspoonful three times daily one 
hour after meals. 

IJ Acidi arsenosi, gr. ss. 

Ext. nucis vomicae, gr. v. 

Ferri reducti, gr. ij. 
Misce et fiant pilulse no. xx. 
Sig. : One three times daily after meals. 

IJ Auri et sodii chloridi, gr. ij. 

Pulv. resinae guaiaci, gr. c. 
Misce et pone in capsulas no. xx. 
Sig. : One capsule one-half hour before each, 
meal. 



NEURITIS. 

IJ Quininse salicylatis, gr. iij. 

Codeinse, gr. y±. 

Quininse sulphatis, gr. j. 
Misce et fiat capsula no. j. 
Sig.: One such capsule every four hours. 

IJ Strychninse sulphatis, gr. y 25 . 

Caffeine, gr. j. 

Quininse sulphatis, gr. ij. 
Misce et fiat capsula no. j. 
Sig.: One capsule every three hours. 



316 Hand-Book of Modern Treatment. 



Mircoli strongly recommends the local application of tur- 
pentine in neuritis resulting from exposure to cold, and in 
sciatica especially. He recommends the following: — 

1$, Terebinthinae (Venetian), 5j« 
Dissolve in 

Olei terebinthinae, 3ij. 
Olei olivse, ^iss. 
Misce. 

Sig. : Apply locally once or twice daily with 
friction. The resin remaining will exert a con- 
tinuous action upon the skin after each appli- 
cation. 



NIPPLES, SORE.— See Fissures. 

R. Tinct. benzoini comp., f3ij. 
Listerinae, f3iv. 

Aquae camphorae, q. s. ad f Biij- 
Misce. 

Sig. : Shake. Bathe nipple and apply freely 
after each nursing. 

Indication: Used to prevent and heal fis- 
sures. 

I£ Tinct. benzoini comp., f3ss. 

Spiritus camphorae, m xvj. 

Olei olivae, f3ij. 

Adipis lanae hydrosi, q. s. ad §j. 
Misce. 

Sig.: Apply freely to nipple after each 
nursing. 

Indication: Fissure of nipples. 

The following combination has been recommended in the 
treatment of cracks or fissures in the nipples : — 

I£ Phenol is, gtt. xv. 
Aquae laurocerasi, 3j. 
Glycerini, 3j. 
Sol. acidi borici (saturated), Oj. 

Misce. 

Sig.: Apply freely to the affected areas. 



Hand-Book of Modern Treatment. 317 

I£ Gutta-percha, gr. xx. 

Spiritus chloroformi, q. s. to dissolve. 
Misce. 
Sig. : Apply after each nursing. 

Fissure of the nipple has been very successfully treated by 
many physicians with ortho-form. A few drops of a saturated 
solution of orthoform in 80-per-eent. alcohol is applied directly 
to the crack, and a dry compress is then placed above. 

As the pregnancy nears the end, the nipples demand spe- 
cial attention, not only to keep the mouths of the ducts and the 
crevices clean, but to render them hard and firm so that the 
epithelium may not be so readily removed by the infant in its 
early attempts at sucking. For this purpose there is nothing 
so good as frequent bathing, accompanied by gentle friction, 
with a saturated solution of boric acid in dilute alcohol. 

IJ Olei ricini, 3ij. 

Bismuthi subnitratis, 3ij. 
Misce. 

Sig. : Apply freely to the sore nipple. 
Indication : Sore or cracked nipple. 

B Olei olivse, §ss. 

Adipis lanse hydrosi, §ss. 

Vaselini, §ss. 

Acidi borici, gr. xx. 
Misce. 

Sig. : Smear nipples gently. Cover with an- 
tiseptic gauze. 

Fissured nipples, when painted with a 2- to 5-per-cent. potas- 
sium-permanganate solution several times a day, will, according 
to Dombrowsky, rapidly heal. The excoriations disappear in 
about a week. The first applications cause a slight burning 
sensation, which, however, rapidly disappears. The treatment 
does not conflict with the nursing of the infant; however, in 
order that the nursling may not absorb any of the remedy while 
nursing, the nipple should be washed with a little warm water 
before the child is put to the breast, and the affected region 
should be covered with some impermeable material in which a 
small hole has been made for the nipple. 



318 Hand-Book of Modern Treatment. 

I£ Liq. ferri subsulphatis, f3ij. 

Glycerini, f3vj. 
Misce. 

Sig. : Apply with camel's hair brush to the 
nipple. 

NYMPHOMANIA. 

1$ Sodii arsenatis, gr. ss. 

Hyoscinae hydrobromatis, gr. 1 / 8 . 

Potassii bromidi, Sj- 
Misce et fiant tabellss compressse no. xxx. 
Sig. : One tablet after meals. All sources of 
local irritation should be removed. 

1^ Potassii iodidi, gss. 

Aquae, f^ss. 
Misce. 

Sig. : Five drops three times daily after 
meals. 

OBESITY. 

The appended outline is the treatment for obesity recom- 
mended by the Journal of the American Medical Association, 
February 3, 1906 :— 

In outlining a treatment for obesity, the causes must be 
carefully looked into. In certain instances there is something 
wrong with the metabolism, consequently in • the treatment, 
overeating, excessive drinking, sedentary life, increased con- 
sumption of fats and carbohydrates must be carefully regu- 
lated. Not infrequently a history of gout or diabetes is ob- 
tained, or perhaps anaemia in some form is present. The age 
of the patient must also be taken into consideration when a re- 
duction of fat is to be considered. Young individuals can not 
withstand such great and rapid reductions as those further along 
in life. In any case, in reducing flesh a gradual reduction 
should be the rule, and when a patient has lost from ten to 
fifteen pounds, after being placed on a strict diet, the diet 
should be made more liberal for a time. We can not recom- 
mend the administration of any preparations in a general way 
without a complete knowledge of the individual case. Thyroid 



Band-Book of Modern Treatment. 319 

extract is a preparation which is a valuable agent in some cases 
in the reduction of fat. It may be given in 5-grain doses three 
or four times a day; its effect on the heart, circulation, and 
nervous system must be carefully watched, as it is very liable to 
produce an increased nervous condition and to cause subjective 
symptoms of the heart. About all that can be recommended 
in this case is placing the patient on a system of diet purported 
to such reduction of fat. We would recommend that form of 
diet advised by Banting, Oertel, Ebstein, Weir Mitchell, or Yeo. 
Yon Noorden, in Nothnagel's Handbuch, recommends the fol- 
lowing diet list in such cases : At 8 o'clock, 80 grams of lean 
cold meat, 25 grams of bread, one cup of tea, with milk and 
no sugar. At 10 o'clock, one egg. At 12 o'clock, one cup 
of strong broth. At 1 o'clock, a small plate of meat soup, 
150 grams of lean meat, flesh or fish; 100 grams of potatoes 
with salad; 100 grams of fresh fruit. At 3 o'clock, one cup of 
black coffee. At 4 o'clock, 200 grams of fresh fruit. At 6 
o'clock, one-quarter liter of milk with tea. At 8 o'clock, 125 
grams of cold meat, or 180 grams of meat, raw and grilled, and 
eaten with radishes and salads; 30 grams of graham bread, and 
two or three teaspoonfuls of cooked fruit with sugar. 

I£ Magnesii citratis effervescentis, S^iij- 

Sig. : Tablespoonf ul in water before break- 
fast. 

Indication: Used as an adjunct to strictly 
regulated diet and exercise. 

From the fact that borax exercises in animals and man an 
inhibitory action upon the processes of nutrition, M. C. Grer- 
hardt conceived the idea of employing this salt in the treatment 
of obesity. He found that in the dose of 1.50 grams (nearly 
24 grains) a day taken in three doses, borax is well supported 
and reduces excessive corpulence. In smaller quantities it pro- 
duces no appreciable effect in diminishing fat. 

I£ Tabellse glandulae thyroidese, gr. v. 
No. xxx. 

Sig. : One tablet after each meal and cau- 
tiously increased. 



320 Hand-Book of Modem Treatment. 

(EDEMA.— See Dropsy. 

O'Donovan finds that atropine is a remedy that rapidly 
contracts the vessels, powerfully stimulates the sympathetic sys- 
tem, increases the force of the heart's beat, raises arterial ten- 
sion, stimulates the respiratory centers, and dries up the secre- 
tions of the skin and mucous membrane. Its physiological ac- 
tion can be easily gauged by watching the amount of dilata- 
tion of the pupil. It is well to supplement it with some drug 
that acts promptly and surely as a direct stimulant to the heart, 
strychnine preferably. In cases of acute pulmonary oedema he 
has seen relief from the hypodermic injection of Vioo g ram 
of atropine Avith 1 / 50 grain of strychnine sulphate so immediate 
and complete that it seemed like magic. The pulse should be 
watched to see that the effect is not merely transitory. Time 
should not be wasted on remedies through the stomach, but the 
hypodermic method should be used at once. 

I£ Pulv. digitalis foliorum, gr. xx. 

Hydrarg. chloridi mitis, gr. xx. 

Pulveris scillse, gr. xx. 
Misce et fiant chartulse no. xx. 
Sig. : One powder after meals. 
Indication: (Edema due to cardiac disease. 

IJ Antimonii et potassii tartras, gr. ij. 

Pulveris scillse, 3j. 

Potassii sulphatis, £ss. 

Potassii bitartratis, giss. 
Misce et fiant chartuke no. xx. 
Sig. : One powder four times daily. 
Indication: Useful in general oedema. 

IJ Triturationis elaterini, gr. ij. 
Fiant chartulse no. xxx. 

Sig. : One powder on tongue every hour until 
nausea is produced or bowels begin to move. 
Indication: Cardiac oedema. 

IJ Liq. potassii arsenitis. 
Sig. : One drop to three in a ha If -glass of 
water after meals. 

Indication: In oedema in feet of old people. 



Band-Book of Modern Treatment. 321 

I£ Potassii iodidi, §ss-§j. 
Aquae destillatse, f§vj. 
Misce. 

Sig. : A tablespoonful three times daily. 
Indication: Useful in anasarca with scanty 
urine. 



ONYCHIA. 

$ Thymol -di-iodidi, 3ij. 

Sig. : Apply freely and cover with antiseptic 
gauze, after removing diseased portions of 
matrix. 

I£ Pulv. plumbi nitratis, £ss. 

Sig. : Dust on part affected twice daily. 

OPHTHALMIA.— See Conjunctivitis, Purulent. 

The secretions should be thoroughly removed from the lids 
by means of absorbent cotton, and the following lotion 
applied : — 

IJ Potassii perman., gr. v. 

Aquae destillatse, Oij. 
Misce. 
Sig. : To be used as an irrigation to the lids. 

Three or four hours later the following should be applied 
locally : — 

I£ Argenti nitratis (crys.), gr. iij. 
Aquae destillatae, 3v. 

Misce. 

Sig.: To be applied locally by means of an 
applicator. This should be neutralized by a 
solution of sodium chloride. 

If a 1- or 2-per-cent. solution of silver nitrate gives no 
relief in two or three days, it should be increased to 4 or 5 per 
cent, In case of corneal infiltration or ulceration, the silver 
nitrate should not be allowed to come in contact with the cornea. 
In such cases the following ointment should be applied : — 



322 Hand-Book of Modem Treatment. 

fy Iodoformi (dissolved in ether), gr. iv. 

Vaselini (neutral), 3iiss. 
Misce. 
Sig. : Apply locally. 

If perforation seems probable, instill a few drops of a 4- 
per-eent. solution of atropine into the eye. 

In ophthalmia neonatorum and all forms of catarrhal 
conjunctivitis : — 

Ifc Hydrastin. hydrochlor., gr. iv-vj. 

Acidi borici, gr. xx. 

Tinct. opii deod., 3ij. 

Aquae destillatse, %iv. 
Misce. 
Sig.: Eye lotion. 

SODIUM CACODYLATE IN" OCULAR AFFECTIONS. 

This salt has been employed internally in the treatment 
of various ocular affections with good results, particularly in 
rebellious herpetic keratitis. Galezowski has employed it locally 
in the eye in the form of an oily or aqueous collyrium as fol- 
lows : — 

I£ Cocainse hydrochloratis, gr. iv. 

Liquid vaselini, 3iv. 

Sodii cacodylatis, gr. ij. 
Misce. 

Sig.: A few drops in the eye two or three 
times daily. 

Calomel will meet the same indications as nitrate of silver 
in ophthalmia neonatorum, for which the latter drug is consid- 
ered almost a specific, and it has not the same inconveniences. 
The conjunctivas should be carefully cleansed with a solution of 
boric acid and then dried with tampons of cotton, and the calomel 
carefully dusted over the mucous membrane in a thin layer. 
The method is applicable among the poor, as it requires to be 
repeated but once a day, and in the vast majority of cases is 
followed by a prompt amelioration of the symptoms, the dura- 
tion of many of the cases not exceeding seven days. The au- 



Hand-Book of Modern Treatment. 323 

thor's observations are based upon fifty-seven cases of ophthal- 
mia in which gonococci were noted in the discharge. 

tfc Argenti nitratis, gr. x. 
Aquae destillatae, f£j. 

Misce. 

Sig. : Bathe the eyes frequently, remove all 
pus, and apply the above locally, followed by 
a solution of sodium chloride. 

B Protargolis, gr. xxv-c. 
Aquae destillatae, fSj. 

Misce. 

Sig. : To be applied to the everted lids twice 
daily after cleansing with a solution of boric 
acid. 



OPIUM HABIT. 

B Tinct. nucis vomicae, gtt. xij. 

Acidi phosphorici diluti, gtt. xx. 

Syr. pruni virginianae, f^ss. 
Misce. 
Sig. : To be taken twice daily. 

B Tinct. moschi, f3vj. 

Tinct. hyoscyami, f3ij. 

Tinct. cannabis indicae, f3iv. 

Spiritus camphorae, f3ij. 
Misce. 

Sig.: Teaspoonful every two to four hours. 
Indication: For restlessness and insomnia 
following withdrawal of opiates. 



ORCHITIS. 

IJ Ung. hydrarg., 3ij. 

Adipis lanae hydrosi, 3vj. 

Ichthyoli. 3j. 

Extracti belladonnae, gr. x. 
Misce. 

Sig. : Apply externally twice daily and then 
follow with a suspensory bandage. 



324 Hand-Book of Modern. Treatment. 

I£ Tinct. iodi, fgss. 

Sig. : Apply locally to swollen testicle. 

B Tinct. opii, f3iv. 

Liq. plumbi subacetatis, f3iv. 
Misce. 
Sig. : Add pint of water and use locally. 

I£ Guaiacoli, 3iv. 

Sig. : Paint a few drops twice daily. 
Indication: Used in acute stage while tes- 
ticle is supported by a suspensory bandage. 



OTITIS AND OTORRHEA. 

Glycerini, 3ij. 

Aquae destillatae, 3ij. 
Misce. 

Sig. : Instil into the ear thrice daily several 
drops of this mixture. 

Indication: Acute otitis. 

1^ Phenol is, gr. ij. 

Menthol is, gr. iij. 

Eucalyptolis, mx. 

01 ei pini pumil., m x. 

Benzoinolis, q. s. ad §j. 
Misce. 
Sig. : Use as a nasal spray and inhalant. 

In influenza, scarlet fever, measles, diphtheria, inflamma- 
tion of the nasal accessory cavities with purulent discharge into 
the naso-pharynx, it is of the greatest importance that the in- 
fection be prevented from gaining an entrance to the middle 
ear. To accomplish this the nasal cavities and naso-pharynx 
should be thoroughly irrigated at least four times in the twenty- 
four hours — i.e., once in six hours — w T ith quantities of a warm, 
alkaline, cleansing solution. Immediately after the irrigation let 
the patient gently blow out the nostrils to rid them of any super- 
fluous solution and then spray into each nostril, having the 
patient inhale at the same time a few whiffs of some antiseptic 
protective as the above prescription. 



Hand-Book of Modem Treatment. 325 

Ifc Liq. plumb, subacet. dil., gtt. xx. 

Acidi acetici dil., gtt. vj. 

Vini opii, gtt., xx. 

Aquse destillatae, §j. 
Misee. 

Sig. : Instill several times daily ten drops 
of the above mixture. 

Indication: Useful in otorrhoea. 

I£ Tinct. ferri chloridi, f3ss. 
Alcoholis, f3j. 
Aquae destillatae, f3j. 
Misce. 

Sig.: Three or four drops to be instilled 
into the external auditory meatus two or three 
times daily. 

Indication: Useful in otorrhoea. 

Ifc Nosopheni, 3ij. 

Sig. : Use as a dusting powder. 

Ifc Glyceriti acidi tannici, §ss. 
Sig. : Fill the meatus and plug with cotton 
wool. 

Indication: Used in the chronic form. 

1$ Aquae hydrogenii dioxidi, f£v. 

Sig. : Syringe the ear carefully with one 
part of solution to two of water, and when 
cleansed instill a few drops of the above solu- 
tion. 

Hot water is injected into the affected ear, which is then 
painted with: — 

1$, Phenolis ( crystals ) , gr. xv-lxxv. 

Glycerini pur., m lxxv-cl. 
Misce. 
Sig. : Use locally. 

Later, when the flow has diminished, use : — 

I? Glycerini pur., m cl. 

Hydrarg. chlor. cor., gr. z / 4a - 3 / i . 
Misce. 

Sig. : For local use. 
Indication: Chronic otorrhoea. 



326 Hand-Book of Modem Treatment. 

Carbolated glycerine, besides acting as a cure, has a dis- 
tinct analgesic action in otorrhcea. 

N". G. Ward has obtained the best results in the treatment 
of suppurative middle-ear disease with formalin. The ear is 
thoroughly cleansed, and if the pus is not discharging and is 
abundant an incision is made in the drum at the postero-in- 
ferior quadrant. After cleansing, an aqueous solution of forma- 
lin, 5 drops to the ounce, is instilled. As a cleansing lotion, 
lysol, 15 to 30 drops in half a glass of warm water, is used with 
a soft-rubber pus-syringe. When the discharge no longer blocks 
the canal all syringing is stopped. In those cases not requiring 
syringing, and also ten minutes after syringing in those that 
do, the patient is directed to lie down on the opposite side, and 
5 to 10 drops of the formalin solution, slightly warmed, is 
poured into the ear. The patient remains in this position to 
allow the fluid to penetrate and reach the tympanum. This is 
repeated night and morning. In acute cases 1 to 3 drops of for- 
malin to the ounce is sufficient; in chronic and obstinate cases 
alcohol is added, as follows : — 

B Formalini, gtt. v. 
Alcoholis, f3ij. 
Glycerini, f3ij. 
Aquse, q. s. ad f^j. 

Dr. Ward has treated forty cases by this method. In 
thirty-five cases the discharge ceased entirely in from three to 
fifteen days, the average being a week. There was improvement 
in the other cases, though no cessation of discharge. In two of 
them there was necrosis of bone. 

I£ Resorcini, gr. ix. 

Tinct. opii, m ix. 

Aquse destillatse, f3j. 
Misce. 
Indication: Purulent otitis media. 

The meatus is first washed out with a tepid boric acid solu- 
tion and then dried with absorbent cotton. From 8 to 15 drops 
of the above mixture, rendered lukewarm, are then instilled into 
the passage, where they are retained for from twenty to thirty 



Hand-BooJc of Modern Treatment. 327 

minutes by bending the head toward the healthy side. The in- 
stillation is practiced once a day, and under its influence the 
otorrhcea disappears in from one to three weeks. This applica- 
tion is equally useful in furunculosis of the auditory canal and 
acute myringitis. 

Geronzi reports the result of formalin treatment of 55 
cases of chronic purulent otitis media. He commenced with a 
2-per-cent. glycerine solution and gradually increased the 
strength to 5-per-cent. The middle ear was tamponed with a 
small strip of gauze impregnated with the fluid, or two or three 
drops of the 5-per-cent. solution were instilled. This treatment 
was applied in those cases that had proved rebellious to ordin- 
ary measures. Improvement was manifest by the second or 
third application; and a complete cure between the tenth and 
fifteenth application was obtained in 3-i out of the 55 cases. 
The duration of the affection in some of the cured cases was 
from 10 to 21 years. The formalin reduced the size of the 
granulations in the tympanum and, supplemented by silver 
nitrate, was able to accomplish their complete disappearance in 
a number of cases. He found that the addition of 5-per-cent. 
sodium carbonate to the 5-per-cent. solution of formalin in- 
creased the tolerance, while others have proved that it also 
enhanced its bactericidal power. 

I£ Potassii iodidi, gr. xxx. 
Tinct. iodi, 3ij. 
Alcoholis, Sj- 
Glycerini, 3vj. 
Iodoformi, gr. xxx. 

Misce. 

Sig. : Inject into outer ear. 

Indication: Chronic otorrhcea. 



OXALURIA. 

Microscopical urinary sediments frequently contain few or 
many calcium-oxalate crystals. Physiologically this deposit 
may be due to the ingestion of one of many fruits or vegetables, 
such as beets, rhubarb, tomatoes, spinach, cauliflower, celery, 
carrots, beans, asparagus, apples, pears, grapes, peas, and cab- 



328 Hand-Booh of Modern Treatment. 

bage. Claret and effervescing drinks have the same effect. Oc- 
casionally when the urine stands for some time, calcium-oxalate 
crystals may form urates and uric acid. Pathologically oxal- 
uria is noted especially when there is defective digestion of fats 
and carbohydrates, with nervous and flatulent dyspepsia. The 
classical symptoms of oxaluria, due to indigestion as well as the 
irritation of the hard, sharp crystals, are vesical tenesmus and 
pain across the back, sometimes extending down the thighs or 
into the testicles; sexual neurasthenia, and hypochondriasis. 

I£ Acidi nitrohydrochlorici diluti, 3ij. 

Tinct. gentianae comp., fgj. 

Tinct. cinchonae comp., fgj. 

Elixiris curacaoe, q. s. ad f^iij. 
Misce. 

Sig. : A dessertspoonful in water through a 
glass tube. 

1$. Acidi nitrohydrochlorici, fgss. 
Sig. : Three drops in half a glass of water 
after meals, through a tube. 

I£ Tinct. ferri chloridi, ^iss. 

Acidi hydrochlorici diluti, gss. 
Aquae destillatae, q. s. ad Sviij. 

Misce. 

Sig. : A tablespoonf ul three times a day 
through a glass tube. 

Indication: With anaemia and nervous 
atony. 



OZjENA. 

I£ Thymoli, gr. ss-j. 

Spiritus vini rect., 3ss. 

Glycerini, 3ss. 

Aquae, q. s. ad Sj- 
Misce. 
Sig.: To be used as a stimulating spray. 

Bonnet speaks highly of nasal irrigation with a 2 1 / 2 -per- 
cent. solution of methyl-blue, practiced at first three times, and 
later once, daily. This method has the inconvenience of staining 



Hand-Book of Modern Treatment. 329 

the nasal orifice and upper lip of a bluish tint, but it causes rapid 
disappearance of the foul odor, and a cure is commonly attained 
in three or four weeks. 

Dr. Sidlo claimed to have cured many cases of ozaena by 
daily washing out the nasal cavities with a 2-per-cent solution of 
chloride of potassium to which 10 per cent, of glycerine had 
been added. This is followed by inserting rolls of cotton in a 
mixture of 1 part of glycerine and 3 parts of water, the tam- 
pons to remain in place for one hour. 

Ifc Hydrarg. aminoniati, gr. iv. 

Pulv. sacchari alb., gss. 
Sig. : To be used as snuff after thoroughly 
blowing the nose. 

I£ Syr. ferri iodi, 5j- 

Sig. : Five drops increased to thirty, thrice 
daily, after meals. 

Ifc Sodii biboratis, gr. xx. 

Ammon. chloridi, gr. xx. 

Potassii permanganatis, gr. x. 
Sig. : Dissolve in one pint of water and use 
thrice daily with a syringe or douche. 

R. Aquae hydrogenii dioxidi, f§vj. 

Sig. : Two tablespoonfuls with a teaspoonful 
of borax, to a pint of tepid water used as a 
nasal douche several times daily. 

I£ Resorcini, 3ss. 
Glycerini, f«5ij. 

Aquas destillatae, q. s. ad f§iv. 
Sig. : Use as a nasal spray every second day 
after using alkaline Avash. 

Indication: Used to check secretion, heal 
ulcers, and prevent foetor. 

J£ Aquae cinnamomi, §j. 
Ext. hamamelid., gj. 
Liq. hydrogenii dioxidi, 3j. 

Misce. 

Sig. : Use two teaspoonfuls as a nasal 
douche twice daily. 



330 Hand-Book of Modern Treatment. 

I£ Hydrarg. chloridi mitis, gr. xv. 

Sacchari albi, 3iv. 
Misce. 
Sig. : Used for insufflation. 



PALPITATION.— See Heart Disease. 

Ifc Sodii bromidi, q. s. 

Sig. : Ten to thirty grains once or twice 
daily, and ice-bag to the heart. 

Indication: Useful in emotional or nervous 
palpitation. 

$ Tinct. digitalis, fgj. 
Sig. : Ten minims three times daily. 
Indication: In irritable heart with palpita- 
tion. 

Ifc Tinct. digitalis, m x-xx. 

Tinct. calumbae, f3j. 

Aquae camphorae, f3x. 
Misce. 

Sig. : One dose twice daily. 
Indication: Nervous palpitation. 

IJ Tinct. aconiti, f3ij. 

Tinct. digitalis, m xlv. 

Tinct. belladonnas, f3iss. 

Tinct. gentianae comp., q. s. ad fSiij. 
Misce. 

Sig. : Teaspoonful every six hours. 
Indication: In palpitation with cardiac hy- 
pertrophy. 

Ifc Pulveris digitalis, gr. v. 

Pulveris scillas, gr. x. 

Pilulae hydrargyri, 3ss. 
Misce et fiant pilulae no. x. 
Sig. : One pill three times daily. 
Indication: Palpitation with anasarca. 

I£ Acidi hydrochlorici diluti, §ss. 
Sig. : Five minims in water after meals. 
Indication : In simple palpitation as an aid 
to digestion. 



Hand-Book of Modern Treatment. 331 



IJ Potassii citratis, 3ij. 

Tinct. stramonii, f3j. 

Tinct. colchici seminis, f3ij. 

Infusi digitalis, f^iij. 

Aquae menthae pip., q. s. ad £viij. 
Misce. 

Sig. : Two tablespoonfuls three times daily. 
Indication: In violent palpitation. 



PARALYSIS. 

IJ Sodii salieylatis, 3iij. 
Aquae, q. s. ad §iij. 

Misce. 

Sig. : One teaspoonful in two ounces of 
water and injected into the rectum three times 
daily. 

Indication: Acute ascending paralysis. 



Ifc Potassii iodidi, §j. 

Tinct. gentianae comp., q. s. ad fgvj. 
Misce. 

Sig. : Teaspoonful in water after meals. 
Indication: Used in hemiplegia after acute 
inflammation has subsided. 



P* Strychninae sulph., gr. j. 
Aquae destillatae, f3x. 

Misce. 

Sig. : Ten minims contains gr. 1 / 60 . Inject 
ten to twenty minims into substance of the 
muscle paralyzed. 

Indication: In diphtheritic paralysis. 



P* Extracti physostigmatis, gr. iij. 

Extracti taraxaci, gr. xxiv. 
Misce et fiant pilulae no. xxx. 
Sig.: One pill every three hours. 
Indication: In locomotor ataxia, writer's 
cramp, etc. 



332 Hand-Book of Modern Treatment. 

PARALYSIS AGITANS. 

IJ Sulphatis hyoscyaminae, gr. ss. 
Aquae de still a tee, 3vj. 

Misce. 

Sig. : Five minims hypodermically once 
daily, or by stomach twice daily. 
Indication: In paralysis agitans. 

IJ Strychnine sulphatis, gr. j. 

Acidi arsenosi, gr. ij. 

Ext. belladonnae, gr. v. 

Quininae sulphatis, gr. xx or xl. 

Pilulse ferri carbonatis, gr. xx or xl. 

Ext. taraxaci, gr. xx. 
Misce et nant pilulae no. xl. 
Sig. : One pill three times daily. 
Indication: In paralysis agitans. 



PARTURITION.— See Labor. 

PEDICULL— See Lice. 

PEMPHIGUS. 

IJ Liq. potassii arsenitis, f3ij. 

Aquse destillatae, q. s. ad fSiij. 
Misce. 

Sig. : Begin with twelve drops t.i.d. and 
increase to from 48 to 60 drops after meals. 

1$. Linimenti calcis, §ij. 

Sig. : Apply after the bullae have been punc- 
tured. Parts should be fixed and no motion 
allowed. 

Indication: Used in painful cases. 

IJ Ung. zinci oxidi. §ss. 
Sig. : Apply locally. 

IJ Sodii arsenatis, gr. ss. 

Quininae hydrochloride 3j. 

Massae ferri carbonatis, 3ss. 
Misce et nant pilulse no. xxx. 
Sig. : One pill after meals. 
Indication : Used in anaemic subjects. 



Hand-Book of Modern Treatment. 



I£ Calaminse, 3ij- 

Zinci oxidi, f^ij. 

Liq. calcis, §ij. 

Acidi borici (sat. sol.), q. s. ad §iij. 
Misce. 
Sig. : Apply freely several times daily. 

I£ Pulv. aeidi borici, §ss. 

Talci, gss. 

Zinci oxidis, §ss. 
Misce. 
Sig. : Apply freely. 

PERICARDITIS. 

Ifc Infusi digitalis, f^iv. 

Potassii acetatis, 3ij. 

Spiritus setheris nitrosi, f3ij. 

Aquae cinnamomi, i^iss. 
Misce. 

Sig. : Tablespoonful every fourth hour. 
Indication: With pericardiac effusion. 

I£ Tinct. aconiti, fjjjss. 

Sig. : One drop every hour until pulse be- 
comes soft and heart quieted, then one drop 
every three hours. 

Indication: In acute stage with strong 
heart, and ice-bag over prgecordium. 

I£ Aspirin, gr. xxiv. 

Pone in capsular no. viij. 

Sig. : One capsule twice daily. 

Indication : Rheumatic pericarditis. 

1$, Sodii iodidi, 3j. 

Syrupi sarsaparillae comp., q. s. ad §.iv. 
Misce. 

Sig.: One teaspoonful after meals. 
Indication: In pericarditis with effusion. 

PERIOSTITIS. 

I£ Ung. plumbi iodidi, gj. 

Sig. : Apply twice daily. 

Indication: Used in chronic periosteal thick- 



334 Hand-Boole of Modem Treatment. 

I£ Cadmi iodidi, 3ij. 
Ichthyoli, f3iv. 

Adipis lanse Irydrosi, q. s. ad Sij- 
Misce. 

Sig. : Spread upon new cloth and apply to 
affected area. 

IJ Potassii iodidi, 3ij. 

Amnion, iodidi, 3j. 

Tinct. cinch onae comp., f£iij. 
Misce. 

Sig.: A teaspoonful well diluted in water 
after meals. 

B Potassii iodidi, 3ij. 
Misce et fiant chartulse no. xij. 
Sig. : One in glass of milk morning and 
evening. 

IJ Syr. ferri iodidi, 

Sig. : Ten to fifteen drops in water after 
meals. 

Indication: In syphilitic or tubercular peri- 
ostitis. 

U Ung. hydrargyri, Sij- 

Sig. : Apply over the affected area by inunc- 
tion or upon a new cloth daily. 

Indication: Used in syphilitic periostitis. 



PERITONITIS. 

1$ Morphinae sulphatis, gr. viij. 
Aquae destillatse, f§iv. 

Misce. 

Sig. : Begin with a dessertspoonful and wait 
two hours. If no effect give three teaspoonfuls 
and wait two hours. If still no effect give four 
teaspoonfuls and wait two hours. The medicine 
should be increased gradually to produce these 
effects, to allay pain, to produce gentle sleep, 
to reduce the respiration to twelve per minute. 
When aroused continue these effects two days 
and then gradually diminish the dose, but if 
symptoms return, increase again. 



Hand-Boole of Modern Treatment. 335 



I£ Guaiacoli carbonatis, gr. xx. 
Pone in capsulas no. xx. 
Sig. : One capsule after each meal and grad- 
ually increased. 

Indication: Tubercular peritonitis. 

B Magnesii sulphatis, Siss. 
Fiant chartulae no. xij. 

Sig. : One powder in hot peppermint water 
every hour until the bowels are freely opened. 
Indication: In acute peritonitis. 

IJ. Acetanilidi, gr. xxx. 
Fiant chartulae no. xv. 

Sig.: One powder every three or four hours 
for vomiting. 

Indication: Used to allay vomiting. 

I£ Olei terebinthinae, 3j. 

Emulsi asafcetidae, f^viij. 
Misce. 

Sig. : Warm, shake well, and inject in rec- 
tum. 

Indication: Used to relieve tympany. 

I£ Tinct. opii deodorati, f£j. 

Tinct. aconiti, 3ij. 
Misce. 

Sig. : Six to eight drops in water every two 
hours. 

I£ Olei terebinthinae, Svj. 

Sig. : Put a piece of flannel in hot water and 
then wring it out. Then dip it in the warm 
turpentine and wring again. Then spread over 
the abdomen. 

Indication: Used in tympany. 

I£ Linimenti hydrarg., fgv. 

Sig. : Daily inunctions over the abdomen 
and the application of flannel abdominal binder, 
which is not to be changed when soiled. 

Indication: In tubercular peritonitis. 



336 Hand-Book of Modern Treatment. 

i£ Syrupi ferri iodidi, f3ij. 

Olei morrhuae, fgiss. 
Misce et pone in capsulas no. xxiv. 
Sig. : One capsule after each meal. Dose 
gradually increased to three capsules. 

Indication: Used in tubercular peritonitis. 

PERTUSSIS.— See Whooping Cough. 
PHAGEDENA. 

I£ Acidi salicylici, gss. 
Sig. : Dust over the slough. 

IJ Potassii permanganatis, 3ss. 

Aquae, Oj. 
Misce. 
Sig. : Apply locally. 

PHARYNGITIS. 

1$ Tinct. ferri chloridi, m xxiv. 

Potassii chloratis, gr. xxiv. 

Syr. zingiberis, fgj. 

Aqu*, q. s. ad f^iij. 
Misce. 

Sig. : Teaspoonf ul every two hours for a 
child of two years. 

1^ Ergotini, 3j. 
Glycerini, 3vj. 
Aquae destillatae, 3j. 
Sig. : Use as a spray every one-half hour. 
One-tenth grain of ergotin by mouth may be 
used as an adjuvant. 

Indication: Acute pharyngitis. 

I£ Sodii bicarbonatis, 3iv. 
Sodii biboratis, 3iv. 
Sodii chloratis, 3iv. 
Potassii bicarbonatis, 3iv. 
Misce. 

Sig.: A quarter of a teaspoonful in a quar- 
ter of a glass of tepid water, and used by in- 
sufflation and gargle. 



Hand-Book of Modem Treatment. 337 



I£ Iodi, gr. iij. 

Potassii iodidi, gr. v. 

Acidi trichloracetic!, gr. vij. 

Glycerini, f§ss. 

Aquae, f^ss. 
Misce. 

Sig. : To be applied locally. 
Indication: Follicular pharyngitis. 



B> Aluminis, 3iss. 

Tinct, opii, 3ss. 

Mellis, 3ij. 

Syr. rosae (B. P.), 3iij. 

Aquae, q. s. ad Sviij. 
Misce. 
Sig. : To be used as a gargle. 



]} Tinct. capsici, 3ss. 

Acidi tannici, 3ss. 

Infus. rosae acidi, Siij- 

Aquae, q. s. ad gv. 
Misce. 

Sig. : To be used as a gargle. 
Indication: When the throat is relaxed and 
reddened. 



]$ Aluminis, 3iv. 

Acidi tannici, 3j. 

Mellis, 3j- 

Aquae rosae, q. s. ad §viij. 
Misce. 
Sig. : To be used as a gargle. 

IJ Amnion, chloridi, 3ss. 
Mellis, Sss. 
Syr. rosae, gss. 
Aquae, q. s. ad gvj. 
Misce. 

Sig. : As a gargle several times during the 
day. 

Indication: This and the following one are 
used as gargles in the chronic form. 



338 Hand-Booh of Modern Treatment. 

1$, Glycerin! acidi carbol. (B. P.), 3iiss. 

Acidi tannici, 3j. 

Tinct. capsici, 3ss. 

Infusi rosse acidi, q. s. ad §vj. 
Misce. 
Sig. : To be used frequently as a gargle. 

In the chronic form of pharyngitis, Ingals recommends 
eliminants and tonics. Arsenous acid internally is also advised, 
combined with mix vomica, as follows: — 

I£ Acidi arsenosi, gr. j. 

Ext. micis vomicae, gr. x. 

Ext. cascarae sagradse, gr. xij. 
Misce et fiant capsulae no. xxiv. 
Sig. : One capsule before each meal. 

For chronic follicular pharyngitis, place half an ounce of 
pine tar in a pint bottle, and add to it ten ounces of 95 per 
cent, alcohol. Mix by shaking. Label the bottle "pine tar Tfc" 
and keep for future use: — 

Ifc Picis liquidae, 3iij. 

Glycerini ext. laurocerasi, 3j. 
Aquae, q. s. ad §iv. 

Misce. 

Sig. : Dose, a teaspoonful every two to six 
hours. Hold the dose in the throat for some 
little time, to get its soothing, healing influ- 
ence. 

Indication: Useful in chronic follicular 
pharyngitis. 

For a more drying effect, add belladonna. To stop a cough, 
add paregoric. 

B Pilocarpine hydrochloratis, gr. ij. 

Aquas, fgj. 

Glycerini, fgj. 
Misce. 

Sig. : A teaspoonful thrice daily. 
Indication: In atrophic or dry pharyngitis. 



Hand-Book of Modem Treatment. 339 

R. Tinct. ferri chloridi. 

Sig. : Ten drops in water through a glass 
tube every two hours. 

Indication : Used in ulcerative infectious 
pharyngitis. 

B Tinct. aconiti, m vj. 
Sodii salicylatis, 3ij. 
Aqua? menthse pip., fSiij. 
Misce. 

Sig. : Tea spoonful every hour. 
Indication: Used in acute pharyngitis with 
moderate fever and circulatory excitement. 

PHLEGMASIA ALBA DOLENS. 

ty Fluidextracti hamamelidis, f^j. 

Syrupi simplicis, fgss. 

Elixiris simplicis, f^ss. 
Misce. 

Sig.: One or two teaspoonfuls three or four 
times daily. 

I£ Phenacetini, 3ij. 

Fiant chartulse no. vj. 

Sig. : One powder every four hours. 

Indication: For relief of pain. 

I£ Fluidextracti hamamelidis, f^vj. 
Sig.: Apply locally. 

B Tinct. iodi, f^iv. 

Sig. : Paint along the course of swollen veins 
on alternate days. 

B Ung. belladonna?, 3j. 
Ung. hydrargyri, 3iv. 
Ichthyolis, fSj. 
Adipis lanse hydrosi, q. s. ad ^iv. 

Misce. 

Sig.: Apply gently without friction along 
the course of swollen veins. 

Indication: Useful in protracted cases. 
Wrap limb with cotton batting and keep ele- 
vated on cushions. 



340 Band-Book of Modem Treatment. 

I£ Plumbi acetatis, gr. xxx. 

Tinct. opii, 3iij. 

Aquae, Oj. 
Misce. 
Sig. : Apply locally on gauze to the affected 



1$ Ung. belladonna?, 3vj. 

Ung. zinci oxidi, §j. 

Lanolini, 3x. 
Misce et fiat unguentum. 

Sig.: Apply locally and wrap the limb in 
cotton. 

The patient should be put to bed and the affected limb im- 
mobilized, after wrapping it in cotton, for thirty days. Locally, 
along the course of the inflamed vein,- the following is applied : — 

1^ Olei hyoscyami, 3iiss. 

Spiritus chloroformi, 3iiss. 
Misce. 
Sig. : Apply locally. 

In the treatment of the chlorotic condition a rich diet is 
prescribed and the following combination given internally : — 

I£ Ferri oxalatis, gr. ij. 

Magnes. carb., gr. iv. 

Pulv. gentianse, gr. iv. 

Pulv. rhei, gr. iij. 
Misce et pone in capsulas no. ij. 
Sig. : Two such capsules at one dose and re- 
peated twice daily before meals. 

PHTHISIS. — See Tuberculosis and Scrofulosis. 

Methylene-blue (medicinal) has been used largely in 
malaria, nephritis, gonorrhoea, cystitis, chyluria, and rheuma- 
tism, but only to a very limited extent in pulmonary tubercu- 
losis — we have seen but one report in this direction, that by 
Althen in 1892. Dr. Henry Herbert recently had occasion to 
use it in a case of malaria associated with phthisis, and was 



Band-Book of Modern Treatment. 341 

surprised to find the latter disease more benefited by it than the 
malaria. This led to a trial of it in nineteen other cases of 
consumption in various stages; 1 / 2 to 3 grains was given three 
times a day. It was observed that the methylene-blue in larger 
doses caused nausea and even vomiting; nearly all the cases 
complained of stranguary, which subsided after a short period; 
and in most cases the drug produced a sensation of choking — 
probably in consequence of impeding expectoration. The only 
advantageous feature noticed consists in a reduction of the 
amount of expectoration and relief of the cough. Dr. Herbert 
states that methylene-blue may safely be administered in chronic 
advanced cases of phthisis with profuse muco-purulent expec- 
toration, and that it is contraindicated in sensitive and hectic 
cases. 

When not accompanied by much expectoration the follow- 
ing mixture is recommended : — 

IJ Codeinee, gr. iv. 

Acidi hydrochlorici dil., 3ss. 

Spiritus chloroformi, 3iss. 

Syrupi limonis, §j. 

Aquae destillatse, q. s. ad Biv. 
Misce et fiat emulsio. 

Sig. : One teaspoonful at short intervals 
when cough is troublesome. 
Indication: Irritating cough. 

I£ Guaiacoli carbonatis, 3iv. 

Glycerini, 3x. 

Sodii chloridi, 3ij. 

Aquae menthae pip., 3iiss. 
Misce. 

Sig. : Twenty to thirty drops to be taken 
daily. 

I£ Creosoti (beechwood), gtt. xxxij. 
Tinct. gentianae, f3j. 
Alcoholis, f§j. 
Vini albi, q. s. ad giv. 
Misce. 

Sig. : Teaspoonful in water or wine three 
times daily. 



342 Hand-Book of Modern Treatment. 

IJ Codeinae, gr. iv. 

Acidi hydrochlorici diluti, m xxx„ 

Spiritus chloroformi, f3iss. 

Syr. limonis, f§j. 

Aquae, q. s. ad f£iv. 
Misce. 

Sig. : One teaspoonful as necessary. 
Indication: To control cough. 

IJ Spiritus chloroformi, fgss. 

Morphinae sulphatis, gr. i or ij. 

Syr. pruni Virginianae, f§iij. 
Misce. 

Sig. : Teaspoonful every four hours. 
Indication: To relieve excessive cough. 

IJ Guaiacoli carbonatis, 3ij. 
Dionini, gr. ij. 

Misce et fiant chartulae no. xxiv. 

Sig. : One powder three or four times daily. 

Indication : Used in early stages to improve 
conditions of bronchial mucous membranes and 
quiet cough. In absence of cough the dionin 
may be omitted. 

IJ Guaiacoli carbonatis, 3ij. 
Pone in capsulas no. xxiv. 
Sig. : One or two capsules three times a day 
after meals. 

IJ Acidi camphorse, 3iij. 
Pone in cachetas no. xviij. 
Sig.: One cachet about two hours before ex- 
pected sweat. 

Indication: Used to prevent night sweat. 

IJ Balsami copaibae, §j. 
Syrupi tolutani, 3j- 
Aquae menthae pip., 3j. 
Spiritus vini rectificati, §j. 
Spiritus aetheris nitrosi, f3j. 

Misce. 

Sig.: Two teaspoonfuls every two to four 
hours. 

Indication: In obstinate haemoptysis. 



Hand-Book* of Modern Treatment. 343 

I£ lodoforini, gr. xxiv. 

Guaiacolis carbonatis, 31 j. 
Misce. Pone in eapsulas no. xxiv. 
Sig. : One capsule after meals. 
Indication: Used in tuberculosis of bladder. 

1$, Codeinse sulphatis, gr. iv. 

Acidi hydrocyanici diluti, gtt. xv. 

Ammon. chloridi, gr. xv. 

Syr. pruni virginianae, q. s. ad f^ij. 
Misce. 

Sig. : A teaspoonful every three or four 
hours. 

Indication: Useful for cough. 

I£ Terpini hydratis, gr. lxxv. 
Spiritus vini rectificati, iZv. 
Glycerini, f3x. 
Misce. 

Sig.: Teaspoonful or two in a little sweet- 
ened water two or three times daily. 
Indication : Expectorant. 

Ifc Sodii iodidi, gr. lxxv. 
Sodii bromidi, 3iiss. 
Sodii chloridi, 3v. 
Aquae destillatae, f3j. 
Misce. 

Sig. : Teaspoonful every morning in cup of 
milk. "Summer codliver-oil," containing prin- 
cipal constituents of olei morrhuae. 

B Tinct. ferri chloridi, f3j. 

Acidi nitrici diluti, f3j. 

Syrupi zingiberis, f3xiv. 

Aquas menthae viridis, f^iv. 
Misce. 

Sig. : Tablespoonful every four hours. 
Indication: Astringent tonic. 

IJ Iodoformi, §ss. 

Sig. : Use about ten or fifteen grains once 
or twice daily by insufflation into larynx. 
Indication: In laryngeal tuberculosis. 



344 Hand-Booh of Modem Treatment. 

IJ Amyli hydratis, 3iss. 

Morphinae muriatis, gr. 1 / 3 . 

Ext. glycyrrhizae, 3iiss. 

Aquae destillatae, f3xv. 
Misce. 

Sig. : The half to be taken at bed time. 
Indication: Insomnia of phthisis. 

IJ Heroinae, gr. ij. 

Acidi acetici diluti, f3ss. 
Syr. acidi citrici, f^j. 
Aquae cinnamomi, q. s. ad f§iij. 
Misce. 

Sig. : One to two teaspoonfuls to relieve 
cough. 

Indication: While quieting cough, heroin 
does not check secretions as do morphine and 
codeine. 

IJ Chloralis hydratis, 3iij. 

Syrupi tolutani, fgj. 

Aquae destillatae, q. s. ad f§iij. 
Misce. 

Sig.: A teaspoonful at bed time. 
Indication: Useful for insomnia. 



PILES.— See Haemorrhoids. 

IJ Tinct. hamamelidis, f^iv. 

Sig. : Inject into the rectum one-half to one 
ceaspoonful in an ounce of cold water daily 
before rising. Also take internally two to five 
minims three times daily. 

IJ Ferri subsulphatis, gr. iij. 

Plumbi acetatis, gr. j. 

Massa hydrarg., gr. ss. 

Olei theobrom. q. s. et facit suppos. no. j. 
Sig. : Introduce one morning and evening. 

IJ Ung. belladonnae, 3ij. 

Camphorae, 3j. 

Tinct. camphorae comp., f3j. 
Misce et fiat unguentum. 
Sig.: Apply to painful piles. 



Eand-Book of Modern Treatment. 345 



I£ Ext. opii, gr. viij. 

Ext. belladonna, gr. ij. 

Olei theobromi, q. s. 
Misce et fiant suppos. no. viij. 
Sig. : One to be introduced into the bowel 
every four to six hours. 

I£ Acidi tannici, gr. xx-xxx. 

Aquae, fgvj. 
Misce. 

Sig. : To be injected, after being cooled with 
ice, into the rectum. 

Indication: Used in bleeding piles. 

PITYRIASIS.— See Dandruff. 

PLEURISY. 

Dr. Samuel W. Kelley, after reviewing the usual signs 
and symptoms of pleurisy, says: "In the course of symp- 
toms which indicate the early stage of pleurisy, among which is 
the attitude of. lying upon one side or bending toward or press- 
ing upon one side, this position changes, and the patient in- 
stinctively turns and prefers to lie upon the back or to be 
propped up high in bed, and avoids bending toward that side or 
pressing upon it. This is a sign of an effusion — probably of an 
effusion of considerable bulk and poured out with a degree of 
rapidity." This sign is not always present, but is conclusive, 
according to the author, when it occurs. The posture on the 
affected side in cases of effusion, as usually described by medical 
authors, is altogether a later phenomenon. Kelly's sign occurs 
at the time of onset of the effusion, and he attributes it to the 
assumption of a new position which allows the greatest freedom 
to the compressed viscera, thereby easing the breathing and cir- 
culation. 

Prozorovsky has used a mixture of guaiacol and tincture 
of iodine, 1 part of the former to 4 of the latter, as an applica- 
tion in serous pleurisy, painting it on twice daily, and covering 
it with an impermeable dressing. He believes that the exudate 
was absorbed more rapidly than by any other method of treat- 
ment with which he had experience ; and, unless too many appli- 
cations were made, it caused no irritation of the skin. 



346 Band-Book of Modern Treatment. 

B Ammonii chloridi, 3j. 

Ammonii carbonatis, 3j. 

Tinct. cubebse, §iij. 

Syrupi tolutani, q. s. ad %iv. 
Misce. 

Sig. : Two teaspoonfuls every hour. 
Indication: Pleurisy with effusion. 

The stimulation of the natural recuperative forces by the 
local, prolonged application of alcohol has been found ex- 
tremely beneficial in pleurisy with effusion, articular rheuma- 
tism, and also in acute gout. Burwinkel reports in the Allge- 
meiner med. Centralzeitung, the application of an alcoholic com- 
press over night banished the pain in a peculiarly severe and 
rebellious case of articular rheumatism. A pleuritic effusion 
which had persisted unmodified by any measures rapidly sub- 
sided after four applications of alcohol for two hours each. 
The relief obtained in two cases of gout surpassed that secured 
by other measures in years of experience. He describes several 
other cases benefited in the same way. 

I£ Podophyllin, gr. 7 3 . 

Hydrarg. chloridi mitis, gr. x. 
Quininae sulphatis, gr. x. 
Misce. 

Sig. : One dose. 

Indication: Earliest stage of acute pleurisy 
with pains. Strapping chest will give relief 
from pain. 

1^ Tinct. aconiti, m viij. 

Spiritus setheris nitrosi, fjjj. 

Syrupi, f3ij. 

Liq. potassii citratis, q. s. ad §viij. 

Misce. 

Sig. : Tablespoonful every hour until pulse 
becomes soft and compressible, and then every 
two or three hours. 

Indication: Used in earliest stage of acute 
pleurisy. 

1^ Pulveris opii et ipecacuanha, gr. xx. 
Sig.: Two grains every two or three hours. 
Indication: To control pain in early stage. 



Hand-Book of Modern Treatment. 347 

R, Tinct. veratri viridis, 3ij. 

Sig. : Two or three minims every half-hour 
imtil patient is slightly nauseated or skin is 
moist. 

Indication: In early stage of an acute dry 
pleurisy. 

IJ Potassii acetatis, 3vss. 

Spiritus setheris nitrosi, 3ij. 

Aquae, q. s. ad §viij. 
Afisce. 

Sig. : A tablespoonful every three or four 
hours. 

Indication: In pleuritic effusion. 

R, Potassii acetatis, 3ij. 

Infusi digitalis, q. s. ad §iij. 
Misce. 

Sig. : Teaspoonful every three hours to a 
child five years old. 

Indication: To remove effusion. 

Ifc Potassii iodidi, §ss. 

Sodii salicylatis, §j. 

Syr. sarsaparillse comp., f§ij. 

Aqua? menthae viridis, q. s. ad f^viij. 
Misce. 

Sig.: Two teaspoonfuls in water after meals. 
Indication: Used in pleurisy with effusion. 

I£ Syr. ferri iodidi, ^ss. 

Sig. : Ten to fifteen drops in water after 
meals. 

Indication: Used in strumous subjects. 

I£ Collodii cantharidati, fgss. 

Sig. : Apply with a brush over a small area 
and paint new areas each day. 

Indication: In pleurisy with effusion to ab- 
sorb exudate and for relief of pain. 



PLEURODYNIA.— See Neuralgia. 



348 Hand-Book of Modern Treatment. 



PNEUMONIA. 

IJ Potassii citratis, 3vj. 

Spiritus aetheris nitrosi, 3iv. 

Tinct. opii camphoratse, 3iv. 

Liq. potassii citratis, q. s. ad §vj. 
Misce. 

Sig. : Dessertspoonful every three hours. 
Indication: Early cough and fever of pneu- 
monia. 



The treatment of pneumonia as pursued in four great hos- 
pitals in New York City — Bellevue, New York, Roosevelt, and 
Presbyterian — was recently outlined by H. P. Loomis before 
the Medical Association of the Greater City of New York. 
In such institutions as these the most advanced therapeutic sug- 
gestions are tried, weighed, discarded or adopted; and accu- 
rate records are kept by which reliable and impartial conclusions 
may be reached. There was much uniformity in the treatment 
of the disease in these four hospitals. Upon admission the 
patient was usually given calomel in small, repeated doses, fol- 
lowed by a saline the next morning. Local applications to the 
chest were usually restricted to cases where intense pain and 
distress were felt; none were made as a routine practice. An 
exclusive milk diet — plain or modified — was adopted during the 
height of the disease. A temperature of 104 and over was not 
regarded necessarily as an indication for special treatment un- 
less nervous symptoms, marked restlessness or delirium accom- 
panied the fever. At the Presbyterian, when the degree was 
above 104, cold packs were applied to the anterior portion of 
the chest; in the New York, alcohol sponging was resorted to, 
and, failing that, the cold pack; at Bellevue, sponging with 
tepid water (80 to 85 degrees) was done; and at Roosevelt, 
alcoholic sponges or anterior packs. Only in the New York and 
the Presbyterian were tub baths given, and then only in cases 
of toxsemic pyrexia or in alcoholic cases with nervous symp- 
toms. Codeine was given to control cough, in doses from one- 
quarter to one grain every four hours; sometimes heroin ( 1 / 12 
grain) and perhaps morphine. Trional, veronal, and codeine 
were given for insomnia. Pulmonary oedema was treated by 



Band-Book of Modem Treatment. 349 

hypodermic injections of adrenalin; also by atropine, cupping, 
and stimulation. The use of oxygen was restricted to cases of 
cyanosis and dyspepsia. The oxygen tank seemed still to hold 
its place as the forerunner of the end. The three cardiac stim- 
ulants were alcohol, strychnine, and digitalis; of these, the 
first named was also the most used and the most relied upon. 
The indications for these stimulants naturally varied in differ- 
ent cases. Only in Roosevelt was the last used to any great 
extent. Nitroglycerine had but occasional use. At Roosevelt 
rectal saline injections were used, especially in alcoholics and 
when nutrition was failing. Eight ounces of a normal salt 
solution were introduced every four hours through a funnel 
attached to the end of a catheter; these injections were well 
retained and seemed to be of decided benefit. Dr. Loomis paid 
a glowing and certainly well-deserved tribute to the interne 
staffs of these hospitals, by whose industry and zeal 
these conclusions were made possible ; and he empha- 
sized three points : Morphine should be used more 
hypodermically in the invasion of pneumonia, which is 
oftentimes characterized by shock to the nervous system from a 
sudden and overwhelming toxaemia, and by distressing pain, 
often amounting to the agony of a pleurisy. If any criticism 
could be offered of our treatment of pneumonia during the 
recent past, it must be upon the injudicious and often unwar- 
ranted use of alcohol. Lastly, Dr. Loomis believes that more 
patients are damaged than helped by the promiscuous drugging 
which is still too prevalent. 

Ifc v Ammon. iodidi, 3ss. 

Strychninse sulphatis, gr. %. 
Creosoti ( beechwood ) , m xx. 
Glycerini, gj. 

Liq. ammonii acetatis, q. s. ad fSiv. 
Misce. 

Sig. : A teaspoonful every two hours. This 
is for a child five years old. 

Indication: Creosote combined with ammo- 
nium iodide, which is a good stimulating ex- 
pectorant, and strychnine to safeguard the 
heart. 



350 Hand-Book of Modern Treatment. 

IJ Tinct. veratri viridis, m xxiv. 

Vini antimonii, 3j. 

Ammonii bromidi, 3iiss. 

Liq. ammonii acetatis, §iiss. 

Syr. limonis, q. s. §iij- 
Misce. 

Sig. : One teaspoonful every hour in water 
until easier, then every two hours. 

IJ Codeinae, gr. ij. 

Liq. amnion, acetatis, 3iv. 

Spiritus chloroformi, 3iv. 

Syr. lactuearii, q. s. ad ^ij- 
Misce. 

Sig.: One teaspoonful every hour. 
Indication: To relieve cough and pain in 
pneumonia. 

For the last seven years H. J. Eobson has treated all cases 
of pneumonia — whether broncho-pneumonia or lobar pneumonia 
— by iron acetate, and severe cases by alternate doses of iron 
acetate and strychnine, with surprisingly good results. The 
prescriptions used are : — 

IJ Liquor ferri perchlor., m xv. 

Liquor amnion, acetatis, 3ij. 

Aqua? chloroformi, q. s. ad 5ss. 
Sig.: Take every four hours in water when 
given alone; take every six hours alternately 
with the strychnine mist, when this latter is 
needed. It is administered every six hours until 
the patient is well over the crisis; then it is 
given every eight hours, and later every twelve 
hours alternately with the strychnine. 

IJ Liquor strychninae, m v. 
Aqua? chloroformi, ad §ss. 

Sig. : Take every six hours in water alter- 
nately with the ferri mist, and as above stated 
( in severe cases only ) . 

IJ Pine oil, for dry inhalation on a clean 
handkerchief. 



Eand-Book of Modern Treatment. 351 

Pneumonia in young children can be diagnosticated from 
other diseases by the following sign : There is a lack of expan- 
sion of the subclavicular region independent of the location of 
the pneumonia lesion. On placing the fingers upon the sub- 
clavicular region they are lifted as by a wave on the sound side, 
while on the other the lack of expansion is evident even in early 
stages of the disease. In pleurisy and pneumothorax the lack of 
expansion corresponds Avith the site of the lesion. 

B Potassii iodidi, 3j. 

Ammonii chloridi, 3iss. 

Misturse glycyrrhizse comp., ^vj. 
Misce. 

Sig. : A tablespoonful four times daily. 
Indication: Useful in delayed resolution in 
pneumonia. 

C. E. de M. Sajous states that as a febrile process advances, 
the alkaline salts are consumed, and being inadequately renewed, 
the vital and defensive functions are increasingly hampered 
until life ceases. After referring to the experimental bacteri- 
ology of an alkaline reaction of the blood fluids in disease, and 
•the more advanced teachings in the same direction by Jacques 
Loeb, he concludes that in febrile diseases there exists a close 
relationship between a deficiency of sodium and death. The 
author states that even under normal conditions nearly one-half 
ounce of sodium chloride is excreted each clay with the urine, 
but that the altered conditions during toxaemias, etc., greatly 
diminish the intake, and unless measures be taken to compen- 
sate for this, the defensive functions are increasingly hampered 
and the chances of death are correspondingly increased. Sajous 
also states that the opposition to the use of saline solution in 
pneumonia and other diseases has been based on the fact that the 
sudden elimination of waste-products tends to cause inflam- 
matory renal lesions, or to augment them if present; whereas 
such lesions occur, he says, because the toxic wastes are allowed 
to accumulate in the organism, and on being suddenly liber- 
ated when the saline solution is used, they overtax the kidneys, 
but this is prevented when the saline solution is administered 
from the start. The formula of Dr. Todd is one admirably ad- 
justed to this purpose and is as follows : — 



352 Hand-Booh of Modern Treatment. 

I£ Sodii chloridi, gr. cccxx. 

Potassii bicarbonatis, gr. cxl. 
Fluidextracti aromatici, (U. S. P.) , m xxx: 
Aquae, q. s. ad %iv. 
Misce. 

Sig. : Teaspoonf ul in six to eight ounces of 
water every two hours with a teaspoonful of 
lemon juice. 

The patient is also allowed to drink water at will. 

A writer lays particular stress on the efficacy of hypoder- 
moclysis, but that it is usually employed as a last resort, and 
that the only way to obtain good results is to use the saline so- 
lution early, which can be done by the above method, so that the 
alkalinity of the blood is insured from the start in all febrile 
toxaemias. 

IJ Mild chloride mercury, gr. v. 
Salol, gr. x. 

Sodii bicarbonatis. gr. x. 
Powdered ipecac, gr. ij. 
M. Divide in five capsules. 
Sig. : One every hour, followed by salts or 
sodium phosphate two hours after last powder, 
if patient's bowels have not moved freely. 

Indication: Form of treatment for lobar 
pneumonia. 

Also tinct. aconite, gtt. x, in water, 3x. A teaspoonful to 
be given every hour until pulse becomes soft. A tablet or two of 
acetanilid comp., with five grains of Dovers powder every two or 
three hours for pain. Mustard plaster to affected lung until sur- 
face is red, then a thick application of antiphlogistine hot, to 
be repeated every ten to fourteen hours until gray hepatization 
sets in. The second visit we order an emulsion containing 
fifteen drops of creosote carbonate to the dose every four hours, 
to be continued until convalescence is completed. After the 
first purge we keep the bowels open with sodium phosphate. 
About the third day we order strychnine sulphate x / 40 grain 
every four hours per orem, unless pulse becomes weak, when we 
give it more often. Also, we begin hot toddies twenty-four 
hours before the expected crisis, to be given between doses of 



Hand-Book of Modern Treatment. 353 

strychnia. A fluid diet and a tonic composed of equal parts of 
Fellows' hypophosphites and elix. lactated pepsin, two teaspoon- 
fuls after meals, complete the treatment. 

I£ Eucalyptoli, m xlv. 
Ammon. iodidi, '3iiss. 
Vini picis liq., §j. 
Syrupi tolutani, §j. 
Misce. 

Sig. : One teaspoonful in water every three 
hours. 

Indication: Good in clearing up stage. 
Avoid ammon. iodidi if phthisis is developing. 

Dr. Gnstav Schirmer states that he never gives either 
narcotics, antipyretics, nor heart-tonics in the treatment of this 
disease. He administers the simple expectorants, urotropin, and 
cathartics, and disinfects mouth and throat. The heart he ex- 
amines daily, but the chest only very little, and then with the 
patient lying on his side. The patient's position is occasionally 
shifted, but he himself must not stir a limb. Always fresh air 
and even temperature. Light diet, but no urging. From the 
very first he vaporizes in the sick-room a mixture as follows : — 

Ifc Acidi thymic, gr. xv. 

Olei gaultherise, fgij. 

Olei eucalypti, f^ij. 

Camphorse, gr. xv. 
Misce. 
Sig. : Use in atomizer. 

Rectal injections, under low pressure, of 1 pint of 0.85 
per cent, saline solution, are made every two hours as long as 
fever is high and toxic symptoms present. 

On the first day 1 ounce of unguentum Crede is thoroughly 
inuncted into the skin ; on the second day 1 / 2 ounce, and this is 
reduced daily, so that severe cases get in all 5 ounces. 

Iron he employs early. Even after the crisis patients must 
stay in bed quietly for ten days. 

He ascribes his good results to the inhalations and the silver 
treatment. When this therapy is instituted only late, the per- 
centage of cures is less. It is an error to wait with the treat- 

23 



354 Hand-Book of Modem Treatment. 

ment until the cases are severe; the best time has then been 
passed. When he began it on the first day every case was cured. 

IJ Morphinse sulphatis, gr. j. 

Syr. ipecacuanhas, f§ss. 

Syr. tolutani, f^iiiss. 
Misce. 

Sig. : A teaspoonful every three hours to a 
child of five years. 

Indication: In the stage of hepatization. 

IJ Potassii iodidi, 3iss. 

Aquae destillatae, f^viij. 
Misce. 

Sig. : A tablespoonful every two hours. 
Indication: Double pneumonia complicated 
with pleurisy. 

IJ Ammonii carbonatis, gr. xl. 

Infusi serpentariae, f^iv. 
Misce. 

Sig. : A tablespoonful every three hours. 
Indication: Useful in the crisis. 

I£ Tinct. strophanthi, f3iv. 

Sig.: Five drops in water every six hours. 

Indication: In circulatory depression. 

J£ Liq. potassii citratis, f^v. 

Sig. : Two teaspoonfuls in water every two 
hours. 

Indication: Used if urine is scant and spe- 
cific gravity high. 



In pneumonia, Dr. T. J. Mays says: "Don't lose sight of 
the great value of tincture of capsicum in relieving great nervous 
depression, delirium, dry black-coated tongue, picking at the 
bedclothes, etc. G-ive it in from 1 / 2 to 1 teaspoonful doses, in 
water, every two or three hours, or oftener, in alcoholic pneu- 
monia." 



Hand-Book of Modern Treatment. 355 



POISONING. 

The Carnegie Institute has granted an appropriation in 
aid of the investigation of snake-poisons now going on in the 
pathological laboratories of the University of Pennsylvania. 
The investigation is conducted along lines suggested by Dr. S. 
Weir Mitchell, who has made a thorough study of the subject. 
Many experiments are being made with rattlesnakes, cobras, cop- 
perheads, and other venomous snakes, and the effect of their 
poison on animals is closely noted, the object being to find an 
antidote in each case. The experimenters find that alcohol is 
useful as a stimulant, but is not an antidote in any sense, as 
many people believe it to be. The best remedial agent is what 
they call the "intermittent ligature," provided it can be used 
in time. This consists of a band around the wounded limb, 
which is loosened for an instant at stated intervals, so that the 
poison can enter the system only in small quantities. Under this 
treatment the victim of the bite is enabled gradually to resist the 
effects. 

In the treatment of ivy poisoning: — 

I£ Sodii hyposulphite, 5j- 

Mentholis, gr. v. 

Alcoholis, 3j. 

Spiritus setiieris nitrosi, %]. 

Aquae destillatae. q. s. ad Oj. 
Misce. 

Sig. : Apply locally with a soft sponge or on 
sterilized gauze. 

It is said that there is nothing better for ivy poisoning than 
the old prescription of calomel, 16 grains, and lime-water, 4 
ounces, to be mixed and applied three times a day. 

Borate of sodium mixed with milk is said to be the best 
general antidote after the stomach has been emptied. For 
vegetable poisons permanganate of potassium in 1-per-cent. 
solution. For carbolic acid, vinegar. This is said to act well 
also externally. 



356 Hand-Book of Modern Treatment. 

Dr. T. J. Daniel recommends: — 

IJ Quininae sulphatis, 3ij. 

Aquae, f^vj. 
Misce. 

Sig. : Apply locally as a specific for rhus- 
poisoning. 

The way in which he came to use it was this. While in 
company with Dr. Strange, they were talking about rhus- 
poisoning. Dr. Strange told Dr. Daniel that quinine was his 
remedy, and said that he had tried it in a large number of 
cases and that it never failed to cure, and cured quickly. He 
said one time a man who had been poisoned with it came to his 
(Strange's) brother, who is also a physician, for treatment. 
His brother did not have what he wanted to give him, and to 
make the patient believe he was doing something for him he 
prepared a solution of quinine and gave it to him and told him 
to apply it thoroughly, and if he was not much better by the 
next morning to come back, and he would have the other remedy. 
He never came back; but in a few days he sent back for some 
medicine just like that given him, that another person was 
poisoned, and it cured him so quickly he wanted the same kind 
for him. The doctor sent it and it cured the patient at once. 
Since that time he has treated many cases, used nothing else, 
and every case was cured quickly. The doctor said he has never 
thought of using anything else since, and that it had never failed 
to cure. Dr. Daniels has had as good success and recommends it 
as a specific for rhus-poisoning. 

I£ Sol. hydrarg. perchloridi, m xx. 
Potassii iodidi, gr. v. 
Chloral is hydratis, gr. v. 
Aeidi carbol., gr. j. 
Spiritus ammon. aromat., m xx. 
Aquae chloroformi, q. s. ad £ss. 
Misce. 

Sig. : One dose every three or four hours 
till effects are gone. 

Indication: Useful in meat and fish poison- 
ing. 



Hand-Booh of Modern Treatment. 357 

L. Kogers describes a practical method of treating any kind 
of snake poison, which promises to be of great value in all cases 
seen early. It is so simple that any intelligent person can carry 
it out. The use of permanganate of potassium, as shown by 
Blyth, is the best-known substance as a practical antidote for 
snakebite. The fact that the results have not always been satis- 
factory is probably due to improper administration. Brunton 
and Fayrer have recently suggested a more radical method 
of using permanganate. They advise ligation above the inocula- 
tion, then incision of the wound, followed by rubbing in of the 
pure crystals of the salt. It is positively established that the 
salt will destroy in vitro nearly its own weight in every class of 
snake-venom. It is possible that the free pouring out of lymph 
in the neighborhood of the wound will sufficiently retard the 
absorption of the venom so that a half hour or more may elapse 
between the infliction of the bite and the rubbing in of the per- 
manganate. At the suggestion of Sir Lauder Brunton a lance 
has been made, surrounded by a sheath, in the base of which 
permanganate crystals are kept, the whole outfit being easily 
carried in the vest pocket. 

Ifc Sodii sulphitis, 3j. 

Glycerini, gss. 

Aquae camphorse, %iv. 
Misce. 

Sig. : Apply locally to affected part on 
gauze. 

Indication: Useful in ivy poisoning. 

I£ Ammonia, 3ij. 

Aquae, 3iv. 
Misce. 

Sig. : Apply to parts affected two or three 
times a day. 

Indication: Useful in rhus poisoning. 

If case presents soon after tumefaction of the skin, the 
following is of value: — 

R Glyco-phenique, 

Aqua?, 
Misce. 
Sig.: Apply often on lint. 



358 Hand-Book of Modern Treatment. 

If the case is two or three days old, one may use with 
advantage : — 

I£ Glyco-phenique, 

Olei olivse, 
Misce. 
Sig. : Apply often on lint. 

Dr. W. C. Whiting writes as follows: — 

"Allow me to call attention to the efficacy of chlorate of 
potash in cases of poisoning by Paris green. In nine recorded 
cases I have not had one which proved fatal, though the quantity 
of poison ingested varied fro: i 1 teaspoonful to 1 / 2 teacupful, 
the latter quantity producing inflammation of stomach and 
bowels (acting as a cathartic) and, of course, requiring subse- 
quent treatment suitable to those conditions. I have not seen 
any account of the use of chlorate of potash in Paris green 
poisoning in the text-books or medical journals ; so I have taken 
the liberty to mention it, as it is nearly always at hand, whereas 
it is not always an easy matter to obtain hydrated sesquioxide 
of iron freshly prepared. I use a saturated solution of the 
potash (4 to 6 ounces) at frequent intervals as long as the matter 
returned from the stomach shows any signs of the poison. The 
color of the poison will be changed to a very dark brown or 
black by the potash. I am not sure of the chemical changes 
which take place, and would like to be informed. I am sure 
of the effect." 

There are two or three general rules that can be well re- 
membered and that always apply in the first treatment of cases 
of poisoning if the poison was taken by the mouth. 

1. A glance at the patient's mouth will at once determine 
whether a corrosive or non-corrosive poison was used (in case 
positive information on this point is not afforded otherwise). 
And this will at once indicate whether or not an emetic should 
be resorted to. If a corrosive poison has been swallowed it is 
better at once to administer warm oil. If a non-corrosive sub- 
stance has been used, emetics (hot mustard water) are called 
for, or the stomach-tube. 

2. After this first general action it may be wise, and even 
necessary, to inquire more thoroughly into the question of the 



Hand-Book of Modern Treatment. 359 

kind of poison that is producing the effect under observation, 
with the view of at once employing specific antidotes. 

3. The next requirement is to sustain the natural processes 
of life by all reasonable and quickly responsive means at hand. 

These three general principles will apply to quite every case 
of the kind, and may be briefly recapitulated thus : — 

First. — Emetics or oil, according to whether or not the 
mouth is burnt. 

Second. — Special antidotes, if possible and needful. 

Third. — Support the patient. 

Workers in brass or copper occasionally suffer from anaemia, 
debility, and nervousness, and neuralgic pains, and often show a 
green line at the base of teeth. Later there may be tremors, 
emaciation, cold sweats, cough, and extreme weakness, amount- 
ing almost to paraplegia. According to William Murray, potas- 
sium iodide is of little service in these cases, but dilute phos- 
phoric acid, 15 minims three times daily, will do much good. 

PRICKLY HEAT. 

IJ Zinci carbonati prsecipitis, 3iv. 

Zinci oxidi, 3ij. 

Glycerini, f3ij. 

Aquas rosse, f^viij. 
Misce. 
Sig. : Apply locally. 

In carrying out the prophylactic treatment of prickly heat, 
the Cyclopaedia of Medicine and Surgery recommends that 
children should be lightly clad in thin woolens and exposed to 
heat as little as possible. Constipation should be avoided. The 
following is recommended, to be applied locally. 

Ifc Acidi carbolici, m xxx. 

Acidi borici, 3j. 

Zinci oxidi, 3iss. 

Glycerini, 3ij. 

Alcoholis, 5ij. 

Aquae, q. s. ad gvj. 
Misce et fiat lotio. 
Sig.: To be applied locally to the skin. 



360 Hand-Book of Modern Treatment. 

Clinical Medicine suggests, since prickly heat is caused by 
the irritation from perspiration which cannot readily evaporate, 
that it will be found better to resort to soap and water, used 
frequently, and to avoid alcoholic and alkaline washes. Once a 
day, perhaps, the irritated parts should be gently bathed, then 
dried thoroughly, and afterward anointed with cocoanut-oil, 
which is absorbed readily, and should be applied with the hand. 
It is not greasy, and will not soil the clothing unless an ex- 
cessive quantity is used. 

As a dusting powder the following combination is of 
value : — 

I£ Magnesii carbonatis, 5ij- 

Acidi borici, 3ij. 

Pulv. amyli, 3ij. 
Misce et fiat pulvis. 
Sig. : To be dusted over the areas involved. 

Ifc Acidi hydrocyanici diluti, m x-xl. 

Glycerini, fgj. 
Misce et fiat lotio. 
Sig.: Apply locally. 

Ifc Acidi hydrocyanici dil., f3j. 

Liq. potassii hydroxidi, f3ij. 

Emulsi amygdalae, fSviij. 
Misce et fiat lotio. 
Sig. : Use locally. 

The general treatment of the patient, according to Hyde, 
should consist in withdrawal from light and heat, the use of un- 
stimulating food and drink, unirritating apparel, and rest. The 
free use of lemonade or Vichy water or any reliable carbonate 
water is of value in aiding elimination and in supplying the 
fluids demanded by the cutaneous loss through evaporation. 
Lassar's paste is serviceable in some cases of pruritus. It is 
composed as follows : — 

I£ Resorcini, 3j. 

Zinci oxidi, 3j. 

Pulvi. amyli, 3j. 

Liq. petrolati, 3ij. 
Misce et fiat unguentum. 
Sig.: To be applied locally. 



Hand-Book of Modern Treatment. 361 

Or resorcin may be used in the following combination : — 

I£ Resorcini, gr. xxx. 

Creosoti, m xv. 

Lanolini, 3rj- 
Misce et fiat unguentum. 
Sig. : To be applied locally to the affected 



When the entire body is involved the patient should receive 
bran, starch, or alkaline baths. 

Hyde recommends lotions of lead or of lead and opium in 
some cases, or alcoholic and ethereal solutions containing cam- 
phor and glycerine similar to the following: — 

I£ Phenolis, 3iss. 

Glycerini, 3ij. 

Mentholis, 3j. 

Spiritus vini rectif., 3j. 

Aquae, q. s. ad 3viij. 
Misce et fiat lotio. 
Sig. : To be applied locally. 

Or the following : — 

R- Olei lini, §ij. 

Liq. petrolati, §ij. 

Olei bergamii, 3ss. 

Aquae calcis, q. s. ad Oj. 
Misce. 
Sig. : To be applied externally to the body. 

The foregoing combination makes a creamy solution which 
often is very grateful to the skin. If desired, zinc oxide or car- 
bolic acid may be added. 



PROSTATITIS. 

R- Ext. glandular suprarenalis, 3iv. 
Pone in capsulas no. xlviij. 
Sig. : One capsule after each meal. 
Indication: Used in chronic enlargement of 
prostate. 



362 Band-Book of Modern Treatment. 

JJ Tinct. opii camphoratae, §iss. 

Liquoris potassii hydroxidi, 5ij. 

Tinet. lupulini, 3iv. 

Tinct. hyoscyami, 3ij. 

Syrupi zingiberis, q. s. ad %\\]. 
Misce. 

Sig. : Teaspoonful in half glass of water 
after meals and at bedtime. 

Indication: Useful in subacute prostatitis. 



IJ Pulv. cocainae, 3j. 

Pulv. ext. cannabis Indicse, 3ij. 

Pulv. ext. hyoscyami, 3ij. 

Pulv. ext. belladonnse, 3iss. 
Use four ounces of paraffin wax and three 
ounces of cacao butter. Melt them together 
and then add the remedies, mixing with a spoon 
till a consistent mass is obtained. You can 
injure the compound by using more heat than 
will keep it so as to run freely. Constantly 
stir the mass while filling the molds and fill 
quickly, so the drug will be evenly suspended. 



I£ Argenti nitratis, gr. v. 

Aquae destillatae, f^j. 
Sig. : Instil a few drops into deep urethra 
once daily by means of a deep urethral syringe. 
Indication: Used in chronic prostatitis. 



IJ Tinct. nucis vomicae, f3j. 

Tinct. ferri chloridi, f3iij. 
Misce. 

Sig. : Twenty drops three times daily. 
Indication: Useful in debilitated cases. 



Ifc Tinct. cantharidis, m xvj. 

Syrupi simplicis, f^ss. 

Aquae destillatae, f^iss. 
Misce. 
Sig.: A teaspoonful every four hours. 



Band-Book of Modern Treatment. 363 

PRURIGO. 

I£ Phenolis, gtt. xv. 

Pulv. camphorse, gr. x. . 

Alcoholis, 5ij. 

Glycerini, 3ij. 

Olei amygdalae, q. s. ad 3j- 
Misce et fiat lotio. 
Sig. : Apply locally to allay itching. 

Ifc Sulphuris praecipitatis, 3ij. 

Betanaphtholi, 3ss. 

Ung. petrolati, §j. 
Misce et fiat imguentum. 
Sig.: Apply locally. 

IJ Liq. potassii arsenitis, 
Sig. : One to three drops in water after 
meals. 

Indication: In anaemia and debility. 

IJ Pilocarpine hydrochloratis, gr. ss. 

Sacchari lactis, gr. xxxvj. 

Alcoholis, q. s. 
Misce et fiant tabellae triturations no. xxiv. 
Sig.: One tablet three times daily. 
Indication: Skin is dry. 

PRURITUS. 

The male sex has been afflicted in about 95 per cent, of cases 
of pruritus ani. In nearly all cases the patients were more or 
less neurotic, and in the major portion of a decidedly bilious 
temperament. The cases demand the removal of all exciting 
causes, and regulation of patient's habits of life should precede 
and attend local treatment. The latter consists in the daily 
injection into the cavity of the rectum of from one drachm to 
two and one-half drachms of the following mixture : — 

Ifc FTuidextracti hamamelis, §j. 

Fluidextracti ergotae, gij. 

Fluidextracti hydrastis, 3ij. 

Tinct. benzoini comp., 3ij. 
Misce. 
Sig.: Shake well before using. 



364 Hand-Book of Modern Treatment. 

The patient should be advised, prior to using this injection, 
that a desire to evacuate the bowels will occur as a result of 
its use, but that if he will remain quiet upon the examining table 
the sensation will quickly disappear. 

If the skin has a very rough and dry appearance, the entire 
surface around the anus should be painted for several inches 
outwards with a concentrated solution of silver nitrate (960 
grains per fluid ounce). If any break in the continuity of the 
skin exists as a result of previous scratching, a little of a 5-per- 
cent, cocaine or eucaine solution, applied to the abrasions, will 
prevent the suffering incident to the use of the silver salt. 
This application may be required two or three times before the 
desired effect is obtained, not of tener, however, than every fourth 
day. On the days between the silver applications the parts 
should be coated with full strength official citrine ointment, 
covered with cotton, and kept in place with a T -bandage. If 
itching should be severe the parts may be bathed with hot water, 
and then apply either the official black wash or calomel oint- 
ment. 

The removal of causative factors is imperative. An exact 
urinalysis should be made. The diet should be regulated. 
Alcohol and highly-seasoned foods should be interdicted. Eub- 
bing or scratching of the vulva should be prohibited. The dis- 
eased parts should be washed with water and pure soap after 
each urination. The following should be applied to give relief 
from the itching : — 

R Cocainse, gr. xxx. 

Orthoformi, gr. xxiv. 

Mentholis, gr. viiss. 

Phenolis, gr. xv. 

Vaselini, 3v. 
Misce. 
Sig. : Apply to relieve the itching. 

Dr. P. C. Sutphin writes that he has used alumnol in pru- 
ritus ani and pruritus vulvae with the most decided success. He 
used it in three chronic cases of the former and one of the latter, 
with prompt relief and cure in all the cases. His formula is 
as follows : — 



Hand-Book of Modern Treatment. 365 

B Alumnol, 9ii-3j. 

Camphorae, 9ij. 

Vaselini, §j. 
Misce et fiat unguentum. 
Sig. : Use night and morning. Rub camphor 
up fine and add the alumnol and vaselin. 

Properly used, he thinks this quite a specific in the above- 
named diseases, and most likely, also, pruritic diseases generally, 
of the genital organs, and highly recommends it in these cases, 
often stubborn of cure, and always most harassing to the patient. 

In anal and vulvar pruritus the following formula will af- 
ford relief from the itching and irritation, to be applied locally : 

I£ Sodii hyposulphis, 3j. 

Phenolis, 3ss. 

Glycermi, §j. 

Listerini, Siij- 
Misce. 

A short time ago Mr. C. came into my office, complaining of 
a rash which had appeared on several parts of his body, par- 
ticularly on the hands, arms, chest, and back. The pruritus 
was intense, so much so that he was unable to sleep at night. 
I made the diagnosis of poisoning by Ehus toxicodendron and 
prescribed the usual treatment, without relief. Finally I made 
a lotion of 1 drachm of ichthyol in 4 fluidounces of water, and 
directed that this be thoroughly applied to the affected parts 
upon retiring at night. The patient was at once relieved of the 
pruritus, and after three or four days the rash had entirely dis- 
appeared. I report this case because I have never before heard 
this drug recommended for this affection. — Myron E. Fisher. 

IJ Sodii biboratis, 3j. 

Olei menth. pip., m v. 

Aquae, q. s. ad Oj. 
Misce. 

Another good lotion is liquor carbonis detergens. Some- 
times this acts like a charm in these cases. These lotions are 
especially useful when we find the irritation has been alleviated 
by the carbolic acid and we want a preparation which the patient 
can continue using to keep the pruritus from returning. 



366 Hand-Book of Modern Treatment. 

Ifc Liquor carbonis detergens, m x. 

Plumbi subacetatis, m x. 

Aquae, q. s. ad fSj. 
Misce. 

This lotion should be diluted with an equal quantity of 
warm water. If we prefer to give it in ointment, a very good 
combination is: — 

I£ Liquor carbonis detergens, f3j. 

Hydrarg. amnion, chlor., gr. x. 

Lanolini, 3j 
Misce. 

There is no doubt that lanolin is very much better than 
vaseline in cases of local irritation in the vulvar region. It is, 
however, more expensive. Ointments act much better than lo- 
tions, and the above is one of the best. 

Ifc Hydrargyri chloridi corrosivi, gr. ss. 

Ammonii chloridi, gr. iij. 

Phenolis, 3j. 

Glycerini, 3ij. 

Aquae rosae, %\. 
Misce. 

Sig. : Apply night and morning. 
Indication: Useful in pruritus ani. 

fy, Benzoini, 3ss. 

Hydrarg. ammon., gr. xij. 

Lanolini, q. s. ad £ss. 
Misce. 

Sig. : Apply night and morning after thor- 
oughly cleansing the parts. 

I£ Fluidextracti hamamelidis, gj- 

Fluidextracti ergotae, Siss. 

Fluidextracti hydrastis, 3j. 

Tinct. benzoini co., 3iss. 

Olei lini cum phenolis (5 per cent.), gj. 
Misce. 

Sig. : Shake and apply locally night and 
morning. 

Indication: Pruritis ani. 



Hand-Book of Modern Treatment. 367 

Patients suffering from acute pruritus should be placed on 
a strictly milk diet at first and later a milk-vegetable diet. To 
calm the itching, acetic acid lotions, followed by ointment of 
menthol and guaiacol, 1 to 2 per cent. The following ointment 
is recommended : — 

I£ Guaiacoli, gr. xv. 

Mentholis, gr. xv. 

Lanolini, §iiiss. 
Misce et fiat unguentum. 
Sig. : Apply locally morning and evening. 

B Mentholis, 3j. 

Cerat. simp., §ij. 

Olei amygdalae dulc., 3j. 

Phenolis, 3j. 

Pulv. zinci oxidi, %ij. 
Misce. 

Sig. : After cleansing the parts apply night 
and morning. 

I£ Ammon. valerianatis, gr. viiss. 

Misce et fiat pilula no. j. 

Sig.: From two to three such pills daily. 

Locally the following may be used: — 

B Acidi hydrocyanici, gr. viiss. 

Hydrarg. bichloridi, gr. viiss. 

Phenolis, 3ij. 

Resorcini, 3ij. 

Chloralis hydratis, 3iij. 

Potassii bromidi, 3iv. 

Aquae, Oij. 
Misce. 
Sig. : To be applied locally. 

Alcoholic solutions of menthol, resorcin, or corrosive sub- 
limate, are equally as efficacious. 

After bathing the parts the following powder should be 
applied : — 

I£ Pulv. amyli, ^iij. 

Bismuthi subnitratis, 3i-3vj. 

Acidi salicylici, gr. xv. 
Misce. 
Sig. : To be applied locally. 



368 Hand-Book of Modem Treatment. 

I£ Cocainae hydrochloride gr. v. 

Mentholis, gr. xiv. 

Liq. petrolati, Sj. 
Misce et fiat unguentum. 
Sig. : Apply locally. 

In cases of genito-perineal pruritus, fissures and excoria- 
tions, parasites, discharges, diabetes, and albuminuria should be 
searched for. 

In vaginal itching the following is recommended : — 

I£ Cocainae hydrochloride gr. VVW 
Morphinse hydrochloridi, gr. Vs-V* 
Olei theobromae, gr. xiv. 
Misce et fiat suppositorium no. j. 
Sig.: One introduced into the vagina night 
and morning. 

I£ Cocainae hydrochloridi, gr. vij. 

Tinct. eucalypti, m Ixx. 

Chloralis hydratis, gr. Ixx. 
Aquae destillatae, q. s. ad Bviij. 
Misce. 

Sig. : Apply as required. 
Indication: Pruritus vulvae. 

Acetate of potassium, 10 grains, t.i.d. internally, and a 10- 
per cent, solution of nitrate of silver locally, to be followed by 
the following ointment : — 

B Mentholis, 3j. 

Cerati adipis, £ij. 

Olei amygdali dulci, §j. 

Phenolis, 3j. 

Pulv. zinci oxidi, 3ij. 
Misce. 

Sig. : Apply morning, noon, and night after 
cleansing the parts. 

Indication: Pruritus ani. 

I£ Sodii salicylatis, 3iij. 

Syrupi acaciae, f^j. 

Aquae menthae pip., q. s. ad §iij. 
Misce. 

Sig.: Dessertspoonful three times daily. 
Indication : With rheumatic or diabetic dia- 
thesis. 



Hand-Book of Modern Treatment. 359 



PSORIASIS. 

B Syrupi ferri iodidi, 3iv 
Olei phosphorati, m c. 
Olei niorrhuae, Sij- 
Misce et pone in capsulas no. c. 
Sig. : One to four capsules two hours after 
meals. 

Indication: Used in psoriasis with anaemia, 
enlarged glands, or struma in youths or young 
adults. 

I£ Liq. potassii arsenitis, m xlviij. 
Olei niorrhuae, §iv. 
Syrupi ferri iodidi, 3j. 
Acaciae, §j. 
Aquae, q. s. ad ^viij. 
Misce et fiat emulsum. 

Sig. : One to two teaspoonfuls after meals. 
To be followed by full draught of water. 

Indication : Useful in psoriasis with anaemia, 
enlarged glands, or struma in children, youths, 
and young adults. 

B Acidi salicylici, 3j. 

Sulphuris sublimati, 3j. 

Olei eucalypti, 3ss. 

Ung. aquae rosae, §j. 
Misce et fiat unguentum. 

Sig. : Rub a small amount in well on the 
patches. 

P* Creosoti, m ij. 

Pepsinae (scale), gr. ij. 
Misce et fiat capsula no. j. 
Sig. : One capsule three times a day after 
meals. 

1$, Podophyllotoxini, gr. x. 

Aloini, gr. x. 

Pulv. jalapae, gr. xxx. 

Massae hydrarg., gr. xxx. 

Olei menth. pip., m iij. 
Misce et fiant pilulae no. xxx. 
Sig. : One pill at bedtime. 

24 



370 Hand-Boolc of Modem Treatment. 

IJ Olei cadini, 3ss. 

Chrysarobini, gr. xx. 

Ung. zinci oxidi, 5j. 
Misee et fiat unguentum. 
Sig. : Apply locally to the affected areas. 

IJ Acidi hydrochlorici dil., gtt. ij. 

Essentia^ pepsini, 3j. 
Misce. 

Sig.: To be taken at one dose and repeated 
after each meal. 

When itching is present, as is rarely the case, the following 
combination is recommended to give the patient relief: — 

IJ Chloralis hydratis, 3ss. 

Pulv. camphorse, gr. xx. 

Phenolis, m 1. 

Ung. aquae rosae, 5j- 
Misce et fiat unguentum. 
Sig. : To be applied locally. 

In any cases of psoriasis the cause should be ascertained 
and treated; chronic indigestion and a rheumatic diathesis are 
frequent causes of this trouble. The foregoing outline of treat- 
ment is applicable when a history of digestive disturbances is 
obtained. 

IJ Acidi salicylici, gr. xlvj. 

Acidi pyrogallici, gr. xlvj. 

Amnion, sulph. ichthyoli, gr. xlvj. 

Olei olivae, 3iiss. 

Adipis lanae, %iv. 
Misce. 
Sig. : Apply twice daily. 

This produces no irritation nor discoloration of the skin. 

IJ Acidi salicylici, 3iiss. 
Chrysarobini, 3v. 
Olei rusci (birch tar), 3v. 
Sapo. viridi, 3viss. 
Vaselini, 3viss. 



Hand-Book of Modern Treatment. 371 

For from four to six days the ointment is applied by the 
aid of a stiff brush to the affected area (after this has dried 
somewhat it is well to apply a little starch or zinc powder). 
On the fifth or sixth day the patient starts taking hot baths daily 
for from one to three days; and after the bath, vaseline is to 
be well rubbed in from one to three times a day. This course 
of treatment, which embraces a period of eight days, may be 
repeated several times, according to the severity of the dis- 
ease, but as a rule the psoriasis patches disappear soon after the 
first treatment. 

B Liq- potassii arsenitis, 
Sig. : Three to five drops, well diluted, thrice 
daily after meals. 

Ifc Liq. potassii arsenitis, f3ii-iij. 

Liq. potassii, f3iv-f§j. 

Aquae menthae pip., q. s. ad f§iij. 
Misce. 

Sig. : A teaspoonful in one glass of water 
after each meal. 

IJ Ext. glandulae thyroideae, 3ij. 
Fiant tabellse eonipressae no. lx. 
Sig. : One three times daily. 

PTYALISM. 

B Tinct. myrrhae, 3iij. 

Potassii chloratis, 3ss. 

Sodii chloridi, 3ij. 

Aquae destillatae, q. s. ad j&viij. 
Misce. 

Sig. : Used as a mouth wash. Repeat every 
two hours. 

I£ Potassii chloratis, 3ij. 

Infusi rhois glabrae radicis, Oj. 

Misce. 

Sig. : Use as mouth wash. 

Ifc Listerini, fgiv. 

Sig. : Teaspoonful in a wineglassful of water 
as a mouth wash every two hours. 



372 Hand-Booh of Modem Treatment. 

IJ Atropinse sulphatis, gr. j. 

Aquse destillatse, f§j. 
Sig.: Four minims three times daily. 

I£ Potassii permanganatis, gr. ii-x. 

Aquse destillatae, f^j. 
Misce. 

Sig. : Use as a mouth wash. 
Indication: To correct the fetor. 

I£ Phenol sodique, fSviij. 

Sig. : Teaspoonful in one-half glass of water 
as a mouth wash every two or three hours. 

Indication : Used in mercurial ptyalism to 
check secretion and harden gums. 



PUERPERAL CONVULSIONS. 

In addition to the correct hygiene and dietetics of preg- 
nancy, always have the patient take daily a aose of the liver tonic 
par excellence, to wit : — 

1$. Euonymi, gr. 1 / s . 

Hydrarg. chloridi mitis, gr. %. 

Pulv. ipecacuanha?, gr.. 1 / s . 

Aloini, gr. V I2 . 

Podophyllini, gr. 1 / 20 . 
Misce et fiat pilula no. j. 

This is the ordinary, average dose to be taken at bedtime. 
The amount of this combination suitable for a given case must 
be determined by a few nights' use. The best rule is to give 
just enough to cause one natural movement of the bowels daily. 
If one pill is too much, give a fraction; if too little, double. 
One will meet with cases requiring very different amounts — 
from 1 / 8 to 3 or 4. 

I£ Aquse destilla se. f3ij. 

Syrupi pruni virginianee, f3ij. 

Chloralis hydratis, 3ss-j. 

Sodii bromidi, 3ss-j. 
Misce. 
Sig. : A tablespoonful in water every hour. 



Hand-Book of Modern Treatment. 373 

P£ E later ini, gr. %. 

Sacchari lactis, gr. iij. 

Misce et fiant chartulae no. iij. 
Sig. : One powder on tongue. 
Indication: Used during attack in sthenic 
cases to cause free watery purgation. 

PURPURA. 

Ifc Calcii chloridi, §ss. 
Aquae, q. s. ad £iv. 

Misce. 

Sig. : One teaspoonful every eight hours for 
three or four days. 

Indication: To increase the coagulability of 
the blood. 

I£ Liq. potassii arsenitis, §ss. 
Sig. : Five drops in water after meals three 
times daily. 

Indication: When due to iodism. 

I£ Fluidextracti hamamelidis, f§ij. 
Sig. : A teaspoonful every one to three 
hours. 

Ifc Olei terebinthinae, fSiij. 

Fluidextracti digitalis, f3j. 

Mucilaginis acacias, f^ss. 

Aquae menthae pip., fgj. 
Misce. 

Sig.: A teaspoonful every three hours. 
Indication: Used in the haemorrhagic form. 

R Extracti glandulae suprarenalae, 3ij. 

Pone in capsulas no. xlviij. 

Sig. : One to four capsules three times a day 
after meals. 

Indication : Used in purpura with vasomotor 
relaxation. 

PYAEMIA AND SEPTICEMIA. 

I£ Tinct. ferri chloridi, 3iv. 
Sig. : Ten to fifteen drops, well diluted and 
through a glass tube, every four hours. 



374 Hand-Book of Modern Treatment. 

IJ Quininae sulphatis, 3ij. 
Pone in capsulas no. xxiv. 
Sig. : One three times daily. 
Indication: To aid in combatting infection 
and as a systemic stimulant. 

R. Salopheni, 3ij. 
Fiant chartulae no. xij. 
Sig. : One powder three times a day. 
Indication: Used as an intestinal antiseptic 
and to neutralize and eliminate toxins. 

1^ Unguenti Crede, 

Sig. : One to two drachms by inunction twice 
daily. 

Indication: Used in all forms and stages of 
pyaemia and septicaemia. 

PYELITIS AND CYSTITIS. 

Ifc Terebinthinae (Venice), 3iss. 

Pulv. camphorae, 3iss. 

Ext. opii, gr. v. 

Ext. aconiti rad., gr. iij. 
Misce et fiant pilulae no. xx. 
Sig. : One pill every eight hours, with a glass 
of the infusion of uva ursi sweetened. 
Indication: Used in chronic pyelitis. 

The charge that has been brought against turpentine, of 
speedily upsetting the stomach, may be brought with truth 
against benzoic acid and sodium benzoate, the drugs that of late 
years have replaced turpentine. The truth is that turpentine, 
taken in small doses with meals, does not upset the stomach in 
such a way as is asserted of it. So slight action as it has in 
that way may be overcome by combining it with the soft extract 
of cinchona, as follows : — 

3 Terebinthinae, gr. iss. 

Mollis extracti cinchonae, gr. iss. 

Misce et fiat pilula no. j. 

Sig. : Three during each of the principal 
meals. 

Indication : Used in the chronic form of pye- 
litis. 



Hand-Book of Modern Treatment. 375 

B. Terebinthinse canadensis, gr. iss. 

Balsami peruviani, gr. iss. 

Magnesii oxidi, q. s. 
Misce et fiat pilula no. j. 
Sig.: Three such to be taken at each meal. 

Add the balsam of Peru to Canada balsam; the former is 
to some extent a peptic adjuvant ; it doubles the anticatarrhal 
properties of turpentine; it prevents the ammoniacal fermen- 
tation of the urine consequent on the transformation into hip- 
puric acid of the cinnamic and benzoic acids contained in it; 
and it enjoys, rightly or wrongly, a special reputation for ex- 
pelling calculi. 

Dr. J. Pollock Simpson describes some cases in which he 
had employed urotropin with benefit. In a case which had 
proved resistant to many remedies, in a severe paroxysm of pain, 
and the urine being very foetid, he gave this drug a trial in 
6-grain doses, with the happiest result; the pain was relieved 
in a very short time, the urine rendered free from odor or smell, 
the pus-corpuscles quickly disappeared from the urine, and the 
patient in a few weeks became free from the severe paroxysms 
that she had looked upon as a part of herself, as she could not 
carry her mind back to the time when she was free from these 
attacks. In a case of many years' standing speedy relief was 
obtained by use of the same remedy. A case of cystitis in a 
young girl is also described in which 4 grains thrice daily was 
productive of great amelioration. 



PYROSIS. 

B Sodii bicarbonatis, 3iij. 
Fiant chartulae no. xij. 

Sig. : A powder in a wineglass of water after 
meals. 



B. Hydrarg. cum cretae, gr. iij. 

Bismuthi subnitratis, gr. xij. 

Pulveris nucis myristicae, gr. iij. 
Misce et fiant chartulae no. vj. 
Sig. : One powder morning and night. 



376 Band-Book of Modern Treatment. 

IJ Pulv. ipecacuanhae, 3j. 
Pulv. rhei, gr. ij. 
Sodii bicarbonatis, gr. xij. 
Misce et fiant chartulae no. xij. 
Sig. : One powder every four to six hours to 
an infant one year old. 



IJ Bismuthi subearbonatis, 3iv. 

Tinct. hyoscyami, f3iv. 

Aquae camphorae, q. s. ad f^iij. 
Misce. 

Sig.: Shake. Teaspoonful one hour before 
meals. 



IJ Tinct. nucis vomicae, f3ii-iv. 

Acidi nitrici diluti, f3vj. 

Syrupi zingiberis, q. s. ad f^iij. 
Misce. 
Sig. : A teaspoonful in a wineglass of water. 

IJ Sodii bicarbonatis, §ss. 

Aquae menthae viridis, fgiv. 
Sig.: Shake and take a tablespoonful two 
hours before meals. 



IJ Sodii salicylatis, 3j. 

Bismuthi subsalicylatis, 3iiss. 

Magnesii carbonatis, 3iiss. 

Sodii bicarbonatis, 3iiss. 
Misce. 

Sig.: One-half a teaspoonful in hot water 
before meals. 



IJ Sodii sulphatis, 3vj. 

Sodii chloridi, 3vj. 

Calcii sulphatis, 3ss. 

Sodii carbonatis, 3iiss. 

Sodii boratis, 3j. 
Misce. 

Sig.: Teaspoonful before each meal. 
Indication: Gastric acidity that is pro- 
nounced. 



Hand-Book of Modern Treatment. 377 



QUINSY.— See Tonsillitis. 

ft Tinct. guaiaci ammoniatse, f^ij. 
Sig. : A teaspoonf ul in half a glass of milk 
three times daily in early stage. 

ft Tabellas protonucleini no. xxiv, each gr. v. ' 
Sig. : One tablet dissolved in mouth every 

hour until flushing of face. Then one tablet 

every two or three hours. 
Indication: Used at onset. 

ft Tinct. iodi, gtt. x. 

Aquae menthae pip., §iss. 

Syrupi simplicis, §ss. 
Misce. 
Sig. : A teaspoonful every hour. 

ft Tinct. aconiti radicis, f£ss. 
Sig.: Half a drop every fifteen minutes for 
two hours, and afterward hourly. 

ft Ichthyoli, f3iij. 

Ung. belladonnas, 3ij. 

Olei citronellae, m iv. 

Adipis lanae hydrosi, 3iij. 
Misce. 
Sig. : Apply freely externally. 

ft Sodii salicylatis, 3iij. 

Syrupi acaciae, f^ss. 

Aquae cinnamomi, q. s. ad §iij. 
Misce. 
Sig. : A dessertspoonful every three hours. 

ft Aquae hydrogenii dioxidi, f§iv. 

Sodii bicarbonatis, 3iv. 

Aquae, q. s. ad §xvj. 
Misce. 

Sig. : Use as a gargle or spray every hour 
or two. 

ft Tinct. aconiti, gtt. vj. 

Potassii bromidi, 3j. 

Aquae, q. s. ad Siv. 
Misce. 
Sig. : Teaspoonful every two hours in water. 



378 Band-Book of Modern Treatment. 

Ifc Cocainae sulphatis, gr. iv. 

Aquae hydrogenii dioxidi, gij- 

Phenolis, m viij. 

Sodii bicarbonatis, 3ij. • 

Aquae, q. s. ad %iv. 
Misce. 

Sig. : Use one or two teaspoonfuls as gargle 
every three or four hours. 

RABIES.— See Hydrophobia. 
RACHITIS (RICKETS, SCROFULA, STRUMA), 

Ifc Liq. potassii arsenitis, 3iv. 
Sig. : One drop three times daily. 

IJ Olei morrhuae, f£v. 
Phosphori, gr. iij. 
Facit solutio. 
Sig. : One teaspoonful daily. 

I£ Olei morrhuae, fBvj. 

Syrupi caleis lactophosphatis, 3nj. 

Liq. caleis, §iij. 
Misce. 

Sig.: One or two teaspoonfuls three or four 
times daily. 

I£ Olei morrhuae, fSxvj. 

Sig.: Apply freely by inunction twice daily. 

Ifc Syrupi ferri iodidi, f3iv. 

Sig.: One to five drops in water or milk 
after meals. 

Indication: Used in anaemic and strumous 
children. 

I£ Elixiris phosphori, f§ij. 
Sig.: Five to fifteen drops in water three 
times daily after meals. 

I£ Syrupi caleis lactophosphatis, f§iv. 
Sig.: Adult dose a teaspoonful three times 
daily. 



Rand-Booh of Modern Treatment. 379 



Ifc Fluidextracti rhamni purshianae arom., f^iv. 
Sig. : Use as conditions indicate. 
Indication : Useful in constipation compli- 
cating rickets. 

Ifc Ferri et quininae citratis, gr. x. 

Olei morrhuae, f^ij. 

Glycerini, f^ij. 
Misce. 
Sig. : A tablespoonful three times daily. 



RATTLESNAKE BITE. 

Ifc Potassii permanganatis, Sss. 
Aquas destillatae, Siij. 

Sig.: Apply to the wound and inject hypo- 
dermically above the seat of injury. At same 
time take internally the following: — 

I£ Aquae ammoniae, 3iv. 

Sig.: A half teaspoonful in water, repeated 
every ten or fifteen minutes. 

B Tinct. iodi, f3iv. 

Sig.: Excise wound and swab out freely. 



REMITTENT FEVER.— See Fever. 



RENAL COLIC— See Calculi. 

Ifc Lithii citratis, 3j. 

Fluidextracti hydrangeas, 3iv. 

Infusi tritici, q. s. ad 3vj. 
Misce. 

Sig.: One tablespoonful every four hours in 
water. 

I£ Lithii citratis, 3j. 

Potassii citratis, 3iss. 

Fluidextracti zeae, Sj- 

Infusi uvae ursi, q. s. ad £vj. 
Misce. 
Sig. : One tablespoonful every four hours. 



380 Hand-Book of Modern Treatment. 

Infusion of birch-leaves has been recommended by Win- 
ternitz as a bland diuretic. Jaenicke states that its diuretic 
action is unimportant, but that it is a good solvent of renal 
calculi. In one case an eminent surgeon had decided to oper- 
ate, and the presence of calculi had been demonstrated by radio- 
graphy. Before consenting to an operation the patient consulted 
the writer. About thirty-five ounces of urine were passed in 
the twenty-four hours. It was acid, turbid, yellowish-white, 
and occasionally hemorrhagic. A cupful of infusion of birch- 
leaves was ordered to be taken twice daily, and liquor ferri per- 
chloridi was given to combat the haemorrhage. A generous meat 
diet, with sometimes a small amount of wine, was substituted for 
one which consisted chiefly of milk. Six weeks later the general 
condition had improved, the attacks of colic were less severe 
and less frequent, and the strangury was scarcely noticeable. 
After another six weeks the general condition was excellent. No 
severe attack of colic had occurred for some time, and the urine 
was in all respects normal. 



RETENTION OF URINE. 

When you succeed in passing a catheter into the bladder 
in cases of considerable retention, do not empty it entirely or 
too suddenly, as it may give rise to haemorrhage, which is some- 
times very profuse, or to severe cystitis, or even to urinary sup- 
pression and death. It is well to partially plug the lumen of the 
catheter so as to allow the urine only to dribble out. 

I£ Atropinae sulphatis, gr. 1 / 30 . 
Morphinse sulphatis, gr. iss. 
Aquae destillatae, f3j. 
Misce. 

Sig. : Ten minims hypodermically and repeat 
once if required. 

Indication: Used in retention from spas- 
modic stricture. Patient should be immersed 
in hot bath for half an hour. 



Hand-Book of Modern Treatment. 381 

.RHEUMATISM. 

Ifc Sodii salicylatis, 3iv. 

Vini colchici, 3iv. 

Spiritus gaultheriae, §j. 

Spiritus setheris nitrosi, 3j- 

Syrupi simplicis, q. s. ad §iv. 
Misce. 

Sig. : One teaspoonful every three or four 
hours in ice-water. 

Indication: Acute inflammatory rheumatism. 

R Sodii salicylatis, Sss. 

Potassii iodidi, 3j. 

Methylis salicylatis, f3j. 

Extracti cimicifugse fluidi, f3ij. 

Alcoholis, f^ss. 

Aquae, q. s. ad f§iij. 
Misce. 
Sig.: A teaspoonful three times a day. 

B Potassii acetatis, 5ij- 

Acidi salicylici, 3iv. 

Syrupi limonis, Sij- 

Aquae menthae pip., q. s. ad §viij. 
Misce. 
Sig. : Tablespoonful every three hours. 

I}. Sodii salicylatis, 3iss. 

Sodii phosphatis, 3ij. 

Sodii bicarbonatis, 3ij. 

Aquae menthae viridis, q. s. ad §iv. 
Misce. 

Sig. : Tablespoonful every four hours. 
Indication: Acute articular rheumatism. 

This prescription : s recommended by Eschner in acnte and 
subacute rheumatism in which considerable involvement of the 
muscles and great pain exist : — ■ 

I£ Antipyrinae, 3ij. 

Sodii salicylatis, 3iij. 

Ammonii bromidi, 3iv. 

Aquas cinnamomi, q. s. ad f§iij. 
Misce. 
Sig. : Teaspoonful every three or four hours. 



382 Hand-Booh of Modern Treatment. 

IJ Sodii salicylatis, 3iv. 

Tinct. ferri chloridi, 3iv. 

Acidi citrici, gr. x. 

Glycerini, Bss-iss. 

Olei gaultherise, m x-xxx. 

Liq. ammon. cit. ( B. P. ) , q. s. ad %\v. 
Misee. 

Sig. : Dessertspoonful every two, three, four, 
or six hours. 

Indication: Used in the acute form and 
those predisposing to anaemia. 

IJ Acidi salicylici, gr. x-xx. 

Ferri pyrophosphatis, gr. v. 

Sodii phosphatis (crys. ), gr. 1. 

Aquae, 3ss. 
Misce. 
Sig. : At a dose. 

Ifc Lithii benzoatis, 3ss. 

Sodii bromidi, 3ij. 

Potassii carbonatis (pura), 3ij. 

Potassii acetatis, 3iss. 

Sodii phosphatis, 3ss. 

Syrupi zingiberis, 

Aquae menthae pip., of each q. s. ad 3vj. 
Misce. 

Sig. : Two teaspoonfuls to a tablespoonful 
in a half-glass of water, every four to six hours, 
after food. 

Indication: Used in the acute form. 

1$ Acidi salicylici, 3ss. 

Ferri pyrophos., 3j. 

Sodii phosphatis, 3x. 

Aquae, q. s. ad 3vj. 
Misce. 

Sig. : One tablespoonful every two hours well 
diluted in water. 

Indication: Useful in acute rheumatism. 

Ifc Sodii salicylatis, 3ij. 

Ichthyoli, f§j. 

Adipis lanae hydrosi, 3j- 
Misce et fiat unguentum. 
Sig. : Apply freely to joint and envelop in 
cotton-wool. 



Hand-Book of Modem Treatment. 333 

IJ Potassii iodidi, 3ij. 

Potassii bromidi, 3ij. 

Chloralis hydratis, 3iij. 

Glycerini, 3ij. 

Syrupi sarsaparillae, 3ij. 

Ext. gaultheriae, 3ij. 

Aquae, q. s. ad %iv. 
Misce. 

Sig. : A teaspoonful four times a day, after 
meals and at bedtime. 

B Tinct. opii, f£ij. 

Glycerini, f^ij. 

Potassii bicarbonatis, 5j- 

Aquae, q. s. ad f^xvj. 
Misce. 

Sig. : Warm and apply to joints on soft 
cloths. 

Indication: Useful in acute articular. 

Ifc Olei terebinthinae, 3iij. 
Betul-ol, 3ij. 
Acidi oleici, 3ij. 
Mentholis, 3j. 
Spiritus vini rect., 3iij. 
Misce et fiat linimentum. 
Sig. : For external use by friction, or, if 
the parts are too tender, apply to any muscular 
part of the body, as this liniment will be easily 
absorbed by the skin and carried by the circu- 
lation to the seat of the lesion. 

Indication: For painful stiff joints, sprains, 
and muscular rheumatism. 

R> Spiritus camphorae, 3iss. 

Spiritus terebinthinae, §iss. 

Chloroformi, 3ij. 

Mentholis, 3j. 

Balsami Peruviani, |iss. 
Misce. 

Sig. : Apply with gentle friction. 
Indication: Useful in muscular rheumatism. 

The basis of the most rapid treatment of acute rheuma- 
tism is salicylic acid, preferably in its combination with soda. 



384 Hand-Book of Modern Treatment. 

If pain be excessive some morphine may be conjoined. For 
instance : — 

Ffc Sodii salicylates, gr. x. 

Morphinse sulphatis, gr. Yg. 

Tinct. cardamomi comp., 3ss. 

Glycerini, 3%. 

Aquse, q. s. ad 3ij. 
Misce. 

Sig. : For one dose. One such dose to be 
given every three hours. 

Codeine may be substituted for morphine. If the narcotics 
are omitted from the prescription a dose may be given hourly 
until six doses have been taken. Lead-water and laudanum is 
a good local application. Wrapping the affected joints in cot- 
ton-wool affords relief. When the temperature has returned 
to normal and the swelling is lessening it is well to add an alkali 
to the salicylate. Sodium bicarbonate or iodide answers a very 
good purpose. A little later the salicylate can be eliminated and 
the alkalies given until eonva^scence is assured. 

In subacute cases, which are frequently attended by sluggish 
liver and constipated bowels, we have often found it of advantage 
to add enough cascara sagrada to each dose to secure free evacua- 
ation. In this class of cases salicylic acid has been found useful 
as a local remedy. It may be made into an ointment in the pro- 
portion of a drachm to an ounce. In the chronic and muscular 
forms salicin is more reliable than salicylic acid. The following 
will often give good results : — 

I£ Salicini, gr. iii-v. 

Ext. cimicifugse, gr. ss-j. 
Misce. 

Sig. : For one dose. One capsule to be given 
four times a day. 

I£ Acidi salicylici. 3vj. 

Fluidextracti pruni Virginianse, 3iv. 

Fluidextracti gentianse, 3ij. 

Fluidextracti glycyrrhizse, 3ij. 

Elixiris simplicis, %x. 
Misce, 

Sig. : Teaspoonful every three hours. 
Indication: Used in rheumatism as a tonic. 



Hand-BooJc of Modern Treatment. 385 

IJ. Fluidextracti taraxaci, 3vj. 

Fluidextracti pruni Virginianse, 3iv. 

Fluidextracti gentianse, gtt. x. 

Fluidextracti glycyrrhizse, gtt. ix. 

Elixiris simplicis, §x. 
Misce. 

Sig. : Teaspoonful every three hours. 
Indication: Used in rheumatism as a tonic. 

R. Acidi salicylici, 3ij. 

Olei gaultheriee, 3j. 

Fluidextracti hamamelidis, 3j. 

Olei sinapis, gtt. v. 

Alcoholis, giv. 
Misce. 

Sig. : For external use only. Apply at night 
p.nd in the morning if necessary. 

The above formula makes a clear solution. The wintergreen 
gives a pleasant odor, so that the most fastidious patients find no 
objections to its use. It does not stain the skin nor the cloth- 
ing, and is clean to use. 

The oil of mustard makes a comfortable warmth, and by 
its irritation accelerates the absorption of the acid. 

Ifc Ichthyoli, gij. 

Adipis lanse hydrosi, 3ij. 
Misce. 

Sig. : Rub in well and apply about the in- 
flamed part on lint. 

R- Salicini, 3j. 

Potassii bicarbonatis, 3iss. 

Sodii bicarbonatis, 3iss. 
Misce et fiant chartulse no. x. 
Sig. : One powder every three hours dis- 
solved in hot water or hot milk. 

Aspirin, a more recent preparation, is a very valuable sub- 
stitute for the salicylates, salol, or salophen, and its action being 
similar, it may be classified in this group. It may be prescribed 
as follows : — 

R- Aspirini, 3iss. 

Ext. nucis vomicae, gr. v. 
Misce et fiant capsulae no. xij. 
Sig. : One capsule every four hours. 

25 



386 Hand-Book of Modem Treatment. 

I£ Sodii salicylates, 3ij. 
Potassii iodidi, 3j. 
Tinct. veratri viridis, gtt. xv. 
Tinct. aconiti radicis, gtt. xv. 
Aquae, £ij. 
Syrupi, q. s. ad Siij. 
Misce. 

Sig. : A teaspoonful every two hours for 
adults. One-half a teaspoonful every two or 
three hours for children. 



I£ Aspirini, Sss. 
Pone in cachetas no. xxiv. 
Sig. : One every three hours during the day. 
Indication: Used as a substitute for the 
salicylates. 



Ifc Salopheni, gss. 
Fiant chartulae no. xxiv. 

Sig. : One powder every four to six hours. 
Indication: Used as a substitute for the 
salicylates. 

IJ Acidi salicylici, 3j. 

Adipis lanse hydrosi (lanolini), 3v. 
Misce et fiat unguentum. 
Sig.: Apply locally to the affected joint. 

B Extracti belladonnas, gr. v. 

Acidi salicylici, gr. xx. 

Sodii salicylici, gr. xx. 

Adipis lanse hydrosi (lanolini), 3iv„ 
Misce et fiat unguentum. 
Sig.: Apply locally. 

B Saloli, 3j. 

Mentholis, gr. xlv. 

Spiritus aetheris nitrosi, 3j. 

Adipis lanse hydrosi, §j. 
Misce. 
Sig. : Apply locally. 



Hand-Book of Modem Treatment. 387 

The following outline of treatment in acute rheumatism is 
recommended : — 

I£ Sodii iodidi, 3ij. 

Sodii salicylates, 3iij. 

Syrupi sarsaparillae comp., giij. 
Misce. 

Sig. : One teaspoonful after each meal in 
water. 

R, Olei gaultherise, §ss. 

Linimenti chloroformi, §iss. 
Misce et fiat linimentum. 
Sig. : To be applied locally night and morn- 
ing. 

As a combined alkaline and salicylate mixture the following 
may be given, which is according to the formula of Whitla : — 

Ifc Sodii salicylatis, 3iv. 
Potassii bicarbonatis, 3v. 
Liq. morphinse hydrochloridi ( 1 per 

cent.), 3j. 
Aquae camphorae, q. s. ad ^viij. 
Misce. 

Sig.: One tablespoonful four times a day in 
one-half glass of water. 

R, Sodii salicylatis, 3iss. 

Potassii iodidi, 3ss. 

Tinct. aconiti, gtt. x-xv. 

Aquae, gij. 
Misce. 

Sig. : One drachm three times daily. 
Indication: Used in acute rheumatism of 
children. 

There is a common notion that lemon-juice produces good 
effects in the treatment of rheumatic diathesis, but up to the 
present the employment of citric acid in acute articular rheu- 
matism has not been spoken of to any extent. For patients 
very susceptible to salicylates, it proved effective both in acute 
and subacute rheumatism. The dose of citric acid is 75 to 150 
grains a day, and may be prescribed as follows : — 



388 Hand-Book of Modern Treatment. 

~fy Acidi citrici, gr. lxxv-3iiss. 

Syrupi tolutani, fSvij. 

Syrupi pruni Virginianae, f3vij. 

Aquae, f^viij. 
Misce. 

Sig. : To be taken during the day — two to 
three tablespoonfuls every two hours. 

Under this medication the pain and swelling disappeared 
from the joints in twelve hours in some cases. 

IJ Codeinae sulphatis, gr. iv. 
Acetanilidi, gr. xlv. 
Sodii salicylatis, 3iiss. 
Alcoholis, 3ss. 
Syrupi rubi iclaei, §j. 
Glycerini, §ss. 
Misce. 

Sig. : Take one teaspoonful every three 
hours. Alcohol to dissolve the acetanilid; 
glycerin and raspberry syrup to render the pre- 
scription more palatable. 

Indication: Useful in neuralgia, rheuma- 
tism, pains, and fever. 



GONORRHOEAE RHEUMATISM. 

Of the first importance is the urethritis. The urethritis 
must be cured, the gonococcus must be destroyed. As long as the 
gonococcus has a dwelling place in the man's urethra and gener- 
ates gonotoxin, a radical cure is out of the question. The gono- 
coccus must be destroyed, and silver nitrate is still best for the 
purpose, if the urethritis is of a chronic character. If of acute 
or subacute character, protargol will prove more satisfactory. 
Internally the following combination is about the best: — 

I£ Saloli. gr. v. 

Antipyrinae, gr. x. 
Codeinae, gr. ss. 
Misce et fiat ehartula no. j. Make twenty- 
four such doses. 

Sig. : One in the morning, one in the after- 
noon, and two on going to bed. 



Hand-Book of Modem Treatment. 389 

If the kidneys are in perfect condition, the dose of salol 
may be doubled. But the urine must be watched, and as soon 
as a suspicion of a blackish or smoky color is noticed, the salol 
should be discontinued. For the pain in the joints, painting 
with a solution or rubbing with a liniment or ointment is to be 
ordered. The solution, which sometimes produces a magic effect 

and sometimes fails entirely, has the following composition : — 

• 
Ifc Acidi salicylici, 3j. 
Mentholis, gr. xv. 
Guaiacoli, m xxx. 
Alcoholis, §j. 
Misce. 

Sig. : Paint with camel's hair brush and 
cover with cotton and oiled silk. 

The liniment has the following composition: — 

I£ Methyl, salicylates, 3ij. 

Guaiacoli, 3j. 

Oleat. veratrinas, 3j. 

Linimenti camphorae, 3j. 

Linimenti belladonnas, §j. 
Misce. 

Sig. : Rub in well and cover with cotton and 
oiled silk or muslin. 

The ointment has the following composition: — 

I£ Chloralis hydratis, 3j. 

Camphorse, 3ss. 

Mentholis, 3ss. 

Acidi salicylici, 3j. 

Guaiacoli, 3j. 

Atropinse, gr. ij. 

Petrolati, §j. 

Lanolini, ad §ij. 
Misce. 

Sig. : Apply externally. Ten to fifteen drops 
of ol. sinapis volatile may be added to the 
above. 

While this ointment does excellent service in articular and 
muscular rheumatism, in lumbago, in sciatica, etc., its effects in 
gonorrhoea! arthritis are only moderate; occasionally, however, 
it surprises us very agreeably. 



390 Hand-Boole of Modern Treatment. 



RHEUMATISM, CHRONIC. 

I£ Sodii iodidi, 3ij. 

Vini colchici rad., 3iv. 

Sodii salicylates, 3iij. 

Tinct. guaiaci ammon., §ij. 

Syrupi sarsaparillae comp., q. s. ad ^vj. 
Misce. 
Sig. : Dessertspoonful three times daily. 



IJ Pulv. guaiaci resinae, 3j. 

Potassii iodidi, 3j. 

Tinct. colchici seminis, 3iij. 

Syrupi simplicis, Sij. 

Aquae cinnamomi, q. s. ad §vj. 
Misce. 

Sig. : Dessertspoonful to a tablespoonful 
twice daily. 

Ifc Fluidextracti jaborandi, 3vj. 

Fluidextracti colchici, 3vj. 

Fluidextracti cimicifugae, 3vj. 

Aquae cinnamomi, 

Syrupi simplicis, of each, q. s. ad Sviij. 
Misce. 

Sig. : One teaspoonful every three hours — 
sufficient to keep the bowels loose. 

]^ Potassii et sodii tartratis, gss. 

Potassii nitratis, 3v. 

Vini colchici, 3ij. 

Aquae, q. s. ad §ij. 
Misce. 
Sig.: A teaspoonful three times daily. 

Ifc Liq. potassii arsenitis, f§.j. 

Sig. : One drop in water after meals and 
gradually increase until slight puffiness under 
the eyes or slight intestinal pain. Then reduce 
dose and continue a long time. 

Indication: Used in anaemia and debility of 
chronic rheumatism. 



Hand-Book of Modern Treatment. 391 

I£ Potassii bicarbonatis, £ss. 
Vini colchici radicis, f3ij. 
Tinct. guaiaci, fgij. 
Syrupi aurantii corticis, fgij. 

Misce. 

Sig. : A dessertspoonful thrice daily in 
water. 

Indication: In rheumatic arthritis. 

I£ Potassii iodidi, 3iij. 

Vini colchici, §ij. 

Tinct. opii camphoratae, §ij. 

Tinct. stramonii, 3vj. 

Tinct. cimicifugse, Siij- 
Misce. 
Sig. : A teaspoonful three times daily. 

IJ Liq. potassii arsenitis, f3ij. 

Potassii iodidi, 3ij. 

Syrupi simplicis, fBiij- 
Misce. 

Sig. : A teaspoonful thrice daily in water. 
Indication: Useful in rheumatic arthritis. 

IJ Sodii iodidi, 3iij. 

Vini colchici sem., f3iij. 
Spiritus gaultheriae, f§iv. 
Misce. 

Sig.: A teaspoonful in water after each 
meal. 

Ifc Sodii iodidi, 3iiss. 

Liq. potassii arsenitis, 3iss. 

Olei gaultherise, 3iss. 

Spiritus gaultherise, q. s. ad §iv. 
Misce. 

Sig. : One teaspoonful in water after each 
meal. 

I£ Tinct. aconiti, 3ij. 
Chloroformi, 3ij. 
Aquae ammonias, 3ij. 
Linimenti saponis comp., q. s. ad Sviij. 

Misce et facit linimentum. 
Sig. : Use locally. 



392 Hand-Book of Modem Treatment. 



IJ Tinct. iodi, 5ss. 

Alcoholis, £ss. 
Misce. 
Sig. : Apply morning and evening. 

I£ Tinct. aconiti, f^j. 

Tinct. opii, f3iv. 

Aquae amnion, fort., f3iv. 

Linimenti chloroformi, f3vj. 
Misce. 

Sig.: Poison. Use as liniment to chronic- 
ally inflamed muscles and joints. 

$ Ichthyoli, 3ss-3j. 

Adipis lanse hydrosi, 3j- 
Misce. 
Sig.: Rub into the joint thoroughly. 

RHEUMATISM.— See Gonorrheal. 

RHEUMATISM, MUSCULAR.— See Myalgia. 

RHINITIS.— See Catarrh. 

RICKETS.— See Rachitis. 

RINGWORM. 

Wash clean with hard green soap and dry thoroughly. 
Then apply collodion in which pyrogallic acid has been dissolved 
in the proportion of 15 grains to the ounce. 

1. The entire scalp is painted with tincture of iodine and then 
carefully dried. By this each diseased patch is stained a darker 
brown than the healthy skin, enabling one to attack places other- 
wise invisible. A circle is drawn with a blue pencil around each 
ring, and the hair epilated for 1 centimeter outside of it. the 
rest of the hair being cut short. 2. The patches are painted 
every day with the iodine until a certain amount of irritation 
of the skin is set up. The treatment is then suspended until the 
skin has regained its natural appearance, and the hair begins to 
grow. The treatment is especially applicable to the more com- 
mon variety of tinea caused by small spores. 



Hand-Booh of Modem Treatment. 393 



IJ Sodii biboratis, 3j. 

Aceti destillatse, fBij. 
Fiat lotio. 

Sig. : Apply locally. 
Indication: In ringworm of the scalp. 

I£ Iodi, 3ij. 

Adipis lanse hydrosi, Sij- 
Misce. 
Sig.: Apply once daily. 

B Tinct. iodi, 3ss. 

Sig. : Apply with camel's hair brush once or 
twice daily. 

Indication: Useful in ringworm of the body. 



ROTHELN.— See Measles and Fever, 
RUPIA. 

IJ Olei cadini, 3ij. 

Ung. hydrargyri, 3ij. 

Vaselini, §j. 
Misce et facit unguentum. 
Sig. : Apply locally. 

Indication: In psoriasis palmaris and plan- 
taris syphlitica. 

Ifc Iodoformi, §ss. 

Sig. : Dust upon the lesion. 

B Hydrarg. protiodidi, gr. xii-xx. 

Ung. simplicis, §j. 
Misce. 
Sig. : Apply locally. 

IJ Hydrarg. iodidi rubri, gr. iij. 

Potassii iodidi. 3i-ij. 

Alcoholis. f3ij. 

Syrupi zingiberis, f3iv. 

Aquae, q. s. ad f^iss. 
Misce. 

Sig. : Thirty drops three times daily. 
Indication: In rupia. 



394 Hand-Book of Modern Treatment. 

SATYRIASIS. 

B; Potassii bromidi, 3vj. 
Aquae destillatae, f§v. 
Misce. 

Sig. : Three teaspoonfuls before dinner and 
four at bedtime. 

IJ Potassii bromidi, 3iv. 
Potassii iodidi, 3iv. 
Aquae camphorae, q. s. ad Jvmj. 
Misce. 

Sig. : Tablespoonful in water three times 
daily after meals. 

Indication: All sources of local irritation 
should be removed. 

B> Sodii arsenatis, gr. ss. 

Hyoscinae hydrobromatis, gr. %. 

Potassii bromidi, 3j- 
Misce et fiant tabellae compressae no. xxx. 
Sig. : One tablet after meals. 



SCABIES. 

B> Sulphuris sublim., 3ii-vj. 
Balsami Peruviani, 3ii-vj. 
Adipis benzoinat., 
Petrolati, of each q, s. ad $iv. 
Misce. 

Sig.: First take a hot bath. The ointment 
is then rubbed in over entire surface, niglit and 
morning, for two to four days, patient wear- 
ing the same underwear continuously. 

Indication: For children and those of deli- 
cate skin. 

P* Sulphuris sublim., 3iv-vj. 
Balsami Peruviani, 3iv. 
Betanaphtholis, 3i-ij. 
Adipis benzoinat., 
Petrolati of each q. s. ad 3iv. 

Misce. 

Sig.: Apply locally as above. 



Hand-Book of Modern Treatment. 395 

IJ Balsami Peruviani, 3ij. 

Sulphuris prsecipitatis, 3ij. 

Acidi salicylatis, 3ss. 

Ung. petrolati, 5ij- 
Misce. 

Sig. : After scrubbing with soap and water 
rub in thoroughly. 

I£ Sulphuris sublim., 3j. 

Balsami Peruviani, 3ss. 

Lanolini, §j. 
Misce et fiat unguentum. 
Sig. : Apply locally. 

I£ Hydrarg. chloridi corros., gr. j. 

Ammonii chloridi, 3ss. 

Alcoholis, 3vj. 

Aqua? rosae, q. s. ad £vj. 
Misce et fiat lotio. 
Sig. : Apply locally. 

IJ Sulphuris sublim., 3ij. 

Olei cadini, 3ij. 

Cretae prep., 3iiss. 

Saponis viridis, 3j- 

Lanolini, 3j. 
Misce et fiat unguentum. 
Sig.: Apply locally twice a day. 

SCARLATINA.— See Fever and Diphtheria. 
SCIATICA. 

R Tinct. aconiti, 3ij. 

Tinct. colchici sem., 3ij. 

Tinct. belladonnas fol., 3ij. 

Tinct. cimicifugae, 3ij. 
Misce. 
Sig. : Six to twelve drops every six hours. 

I£ Liq. potassii arsenitis, f§j. 

Sig. : One drop, to be gradually increased 
until puffiness under the eyes, then reduce and 
continue several weeks. 

Indication: Useful in anaemia. 



396 Hand-Book of Modern Treatment. 

I£ Spiritus glycerylis nitratis, 3ss. 
Tinct. capsici, 3ss. 
Aquae menthae pip., 3iij. 
Misce. 

Sig. : Five drops thrice daily in a tablespoon- 
ful of water for the first three days, and ten 
drops thrice daily on the following days. 

IJ Guaiacoli crystall., gr. xv. 
Methylis salicylatis, 3iiss. 
Adipis, 3iiss. 
Lanolini, 3iiss. 
Misce. 

Sig.: Apply upon a linen cloth along the 
course of the sciatic nerve and cover with cot- 
ton and waxed taffeta 

IJ Cocainae hydrochloratis, gr. j. 

Morphinae hydrochloratis, gr. i-viij. 

Sodii chloridi, gr. j. 

Phenol is, m j. 

Aquae, q. s. ad £j. 
Misce. 

Sig. : Inject ten to fifteen drops deeply into 
tissues along course of nerve. 

R, Salopheni, 3iv. 
Phenacetini, 3iv. 

Misce et fiant chartulae no. xxiv. 

Sig. : Two powders every four hours until 
pain is relieved; then one powder every six 
hours. 

IJ Calcii glycerophosphate, 3iss. 

Sodii glycerophosphates, 3iss. 

Ferri glycerophosphates, gr. xxx. 
Misce et fiant capsular no. xxx. 
Sig. : One after each meal three times a day. 

IJ Acidi salicylici, 3ss. 

Ichthyoli, 3iv. 

Olei hyoscyami comp., 3iv. 

Adipis lanae hydrosi. 
Misce. 
Sig.: Apply locally. 



Hand-Book of Modem Treatment. 397 

Dr. James Taylor reminds us of the well-known but too 
much ignored fact that electricity is very useful in sciatica. It 
is useful, first, in relieving the pain, which is often severe, and 
in the second place it is useful in stimulating muscles which 
have become wasted, and thus aiding their growth. In sciatica 
itself the best current to use is, he says, the constant current, 
and it is best applied by getting the patient to lie prone, with 
one of the flat conductors over the sciatic area, the other pole 
being stroked over the distribution of the nerve. He has known 
very great benefit, and, indeed, practically complete relief, af- 
forded in sciatica from comparatively few applications of the 
battery. 

IJ Acidi osmici, gr. ij. 

Aquae destillatae, m cc. 
Sig. : Sixteen minims hypodermically at the 
seat of pain, at first daily, then less frequently. 

IJ Tinet. gelsemii, ^ij. 
Tinct. colchici, £ij. 
Misce. 
Sig. : Ten to twelve drops three times daily. 

IJ Potassii iodidi, 3iv. 

Sodii salicylatis, 3vj. 

Tinct. cimicifugae, fgij. 

Syrupi sarsaparillae comp., fgij. 

Aquae, q. s. ad fgvj. 
Misce. 

Sig. : Two teaspoonfuls in water after meals. 
Indication : Used in rheumatic subjects. 

IJ Aspirini, 3j. 

Phenacetini, gr. 1. 

Quininae salicylatis, gr. xx. 

Codeinae, gr. iiss. 
Misce et fiant chartulae no. x. 
Sig. : One powder every six hours. 

IJ Spiritus glonoini, m j. 

Morphinae sulphatis, gr. 1 / 3 - 1 / 2 . 
Aquae destillatae, m xxx. 
Misce. 

Sig. : Injected by means of a long hypo- 
dermic needle deeply inserted into the tissues 
above the nerve. 



398 Hand-Book of Modern Treatment. 



SCLERITIS. 

I£ Pilocarpine hydrochloride gr. 1 / 8 - 1 / 4 . 

Sig. : Injected hypodermically after a hot- 
bath. Sweating should continue for one or two 
hours. 

IJ Sodii salicylatis, 3iv. 

Potassii iodidi, 3iv. 

Vini colcnici radicis, f3ij. 

Syrupi sarsaparillae comp., f^j. 

Aquae, q. s. ad f^iij- 
Misce. 

Sig.: Teaspoonful in water after meals. 
Indication: Used when due to gout or rheu- 
matism. 



SCLEROSIS.— See Locomotor Ataxia. 



SCROFULA. 

Codliver-oil should be given during the winter months if 
the stomach can retain it. In the summer the syrup of the tan- 
nate of iodine or the following may be given: — 

IJ Calcii iodidi, 3iss. 

Aquae calcis, §ij. 

Aquae menthae pip., %iv. 
Misce. 

Sig. : One teaspoonful in a small amount of 
water twice daily after a meal. 

Every second day a bath should be taken, the water con- 
taining sodium bicarbonate, 2 ounces; and sodium chloride, 32 
ounces. The body should receive a thorough rubbing daily, after 
which the following should be applied : — 

I£ Eau de cologne, §iij. 

Spiritus lavendulse, §iij. 
Misce. 
Sig. : To be rubbed thoroughly over the body. 



Hand-Book of Modern Treatment. 399 

The diet should be rich in fats and phosphates. Conse- 
quently the patient's food should consist mainly of milk, eggs, 
farinaceous compounds, meat, chicken, and dry vegetables. The 
country and seaside are better locations for these cases. 

I£ Liq. potassii arsenitis, m xvj. 

Aquae destillatae, f^ij. 
Misce. 

Sig. : Teaspoonf ul three times daily after 
meals for child five years old. 

IJ Olei morrhuae, fgvj. 

Syrupi calcis lactophosphatis, §iij. 

Liq. calcis, §iij. 
Misce. 

Sig.: One or two teaspoonfuls three or four 
times daily. 

I£ Olei morrhuae, f&xvj. 

Sig. : Inunction night and morning. 

Ifc Syrupi ferri iodidi, 3iij. 

Syrupi siniplicis, q. s. ad £v. 
Misce. 

Sig. : Teaspoonful three times daily after 
meals. 

SCURVY. 

Ifc Acidi hydrochlorici, f3j. 

Mellis, fgj. 

Aquse rosae, f^j. 
Misce. 

Sig. : Apply to affected gums three or four 
times daily. 

R Potassii chloratis, 3ss. 

Listerinae, f3j. 

Acidi citrici, gr. vj. 

Aquae, f^ij. 
Misce. 

Sig. : Use several times daily as a mouth 
wash on soft cloth. 



400 Hand-Book of Modern Treatment. 

1$, Limonis succi, 

Sig. : Use ad libitum as a drink. 

SEA-SICKNESS. 

I£ Sodii bromidi, 3j. 
Amnion, bromidi, 3ss. 
Aquse mentha3 pip., fgv. 
Misce. 

Sig. : A tablespoonful before meals and at 
bedtime. To be used three days before embark- 
ing. 

I£ Acetanilidi, gr. xlviij. 
Fiant chartulse no. xxiv. 

Sig. : One powder on tongue every two or 
three hours. 

R Spiritus glycerylis nitratis, 3ij. 
Sig. : One or two drops two or three times 
daily. 

I£ Chloroformi, m xlv. 

Alcoholis, f^ss. 

Elixiris aromat., f^ss. 
Misce. 
Sig. : Twenty to forty drops as needed. 

IJ Sodii bromidi, 3iij. 

Sig. : Sixty grains in divided doses three 
days before embarking, combined with strych- 
nine, gr. y 30 , three times daily. 

SEBORRHCEA.— See Dandruff. 

SEPTICEMIA.— See Pyaemia. 

SHINGLES.— See Herpes. 

SHOCK. 

Ifc Atropinae sulphatis, gr. 1 / 60 - 1 /ioo- 
Sig. : Give hypodermically as required, espe- 
cially when the skin is moist. 



Hand-Booh of Modern Treatment. 401 

1$, Ammonii carbonatis, gr. viij. 
Syrupi, f3ij. 

Aquse camphorae, q. s. ad f^j. 
Misce. 

Sig. : Teaspoonful as required. 
Indication: Used in surgical shock in chil- 
dren. 

I£ Strychninse sulphatis, gr. V20-V40 
Sig. : In ten minims of water hypodermic- 
ally. 

I£ Camphorse, gr. xxx. 

Olei olivse, f§ss. 
Misce. 

Sig. : Give fifteen minims every fifteen min- 
utes until reaction began. 

SLEEPLESSNESS.— See Insomnia. 
SMALL-POX. 

Ifc Linimenti calcis, gviiss. 
Olei eucalypti, 3iv. 
Calamine prep., 3j. 
Misce. 

Sig. : Direct application to face by means 
of a large camel's hair brush every two to three 
hours. 

Indication: To prevent pitting. 

IJ Tinct. aconiti, m xij. 

Spiritus setheris nitrosi, f3iv. 
Liq. potassii citratis, q. s. ad f^iij. 
Misce. 

Sig. : One or two teaspoonful s in water every 
two hours. 

Indication : Used in early stage as a circula- 
tory sedative. 

B Ichthyoli, 3ij. 
Guaiacoli, 3ij. 
Glycerini, 3 SS - 
Misce. 

Sig. : Apply locally with a feather three 
times a day. 

26 



402 Hand-Book of Modern Treatment. 

The earlier it is commenced, the better. The face should 
be bathed before each application with luke-warm water and 
soap. 

As a stimulant in profound prostration, Stokes's cognac 
mixture : — 

I£ Cognac optimi, f3xv. 

Aquae destillatse, f3xv. 

Vitelli ovi, no. j. 

Syrupi, f3vj. 
Misce. 
Sig. : A tablespoonful every two hours. 

To soften the scab nothing is better than a salve of the 
following composition : — 

I£ Sodii bicarbonatis, 3ij. 

Petrolati q. s. ad §j. 
Misce. 

When extensive impetigo exists employ a bichloride bath 
and then dust the patient with a weak aristol or iodoform talcum 
powder. An ointment which is useful in treating impetigo pus- 
tules is : — 

I£ Hydrarg. ammoniati, gr. x. 

Pulv. amyli, 5ij. 

Pulv. zinci oxidi, 3ij. 

Petrolati, £ss. 
Misce et fiat unguentum. 

R Ichthyoli, 3iss. 

Vaselmi, §ij. 
Misce. 
Sig. : Apply to pustules to prevent pitting. 

1$. Saloli, gss. 
Fiant chartulse no. xij. 
Sig. : One powder every eight hours. 
Indication: Used to abort pustulation and 
prevent irritation and desire to scratch. 

Ingalls reports thirty-six cases of variola, of which one 
was hemorrhagic and thirteen confluent, treated by the bichlor- 



Eand-Book of Modern Treatment. 403 

ide baths without mortality. The treatment was given as fol- 
lows: A six-foot bath-tub was placed beside the patient's cot 
and filled with a fairly warm — 103° -105° — solution of bi- 
chloride, 1 to 10,000, and the patient placed therein, head and 
shoulders above the solution; the nurse then went over the 
entire body, using a soft cloth, being careful of force applied 
so as not to cause much pain. After remaining in the bath about 
ten or twelve minutes, the patient was removed, thoroughly 
dried, dressed in freshly laundered clothing, and placed in a 
clean bed. 

These baths were given night and morning. After removal 
from the bath the patient expressed much relief, but shortly 
after, owing to the drying effect, complained of a burning sen- 
sation "just beneath the skin." He found that all were like- 
wise affected, so, to obviate this, began a routine practice of 
anointing patients immediately after the bath with a mixture of 
carbolic acid, bismuth subnitrate, and olive-oil, with a very 
happy result. 

He makes the following deductions concerning the method: 
There is practically no mortality. The suppurative fever can be 
shortened four to six days if patient is treated from the onset; 
a minimum of pitting is secured and an almost entire absence 
of the characteristic, disagreeable odor; the period of desqua- 
mation is materially lessened, owing to the thinness of the scab- 
formation; pain is much reduced, morphine being rarely indi- 
cated; the great distortion of features, which gives us such 
repulsive looking patients, is eliminated to a great extent. 

B Liq- potassii acetatis, fgiiiss. 
Spiritus aetheris nitrosi, f§ss. 
Misce. 

Sig. : A tablespoonful every two or three 
hours in a wineglassful of water. 

R, Argenti nitratis, gr. xl. 

Aquae destillatae, f-^ij. 
Misee. 

Sig. : Paint the skin that is exposed to the 
light. 

Indication: To prevent pitting. 



404 Eand-Book of Modern Treatment. 

I£ Tinct. ferri chloridi, fBj- 

Sig. : Five to ten minims in water every 
four to six hours. 

Indication: To affect specifically the pysemic 
fever. 

Ifc Caffeinae citratae, gr. vj. 

Antipyrini, 3j. 
Misce. 

Sig. : One powder as required. 
Indication : Used to relieve pain in back and 
head. 

IJ Potassii chloratis, f£ss. 

Tinct. myrrhae, f£ss. 

Aquae, q. s. ad Sxvj. 
Misce. 

Sig.: Shake well and use as mouth wash as 
necessary. 

Indication: Used for sore mouth. 



SNAKE-BITES.— See Bites and Stings. 



SPERMATORRHOEA. 

IJ Tinct. cantharidis, 3ij. 
Tinct. ferri chloridi, 3vj. 

Misce. 

Sig. : Twenty drops in water three times 
daily. 

Indication: Used in impotence with sperma- 
torrhoea. 

I£ Tinct. gelsemii, 3j. 

Tinct. belladonnae, 3ij. 
Misce. 
Sig.: Fifteen drops at bedtime. 

I£ Antipyrini, 3ij. 

Syrupi acaciae, ^ss. 

Aquae cinnamomi, q. s. ad f§iv. 
Misce. 

Sig.: A dessertspoonful on retiring. 
Indication: Used when due to neurasthenia. 



Hand-Book of Modem Treatment. 405 

I£ Potassii bromidi, Sj- 

Aquae destillatse, q. s. ad f^ij. 
Misce. 

Sig. : A teaspoonful three times daily. 
Indication: Used in the strong and ple- 
thoric. 

I£ Potassii bromidi, 3iv. 

Fluidextracti ergotse, f3iv. 

Tinct. belladonnas, f3ij. 

Aquaa camphor83, q. s. ad f^viij. 
Misce. 

Sig.: Tablespoonful at bedtime. 
Indication : Used in cases with spinal hyper- 
esthesia and nocturnal pollutions. 

SPLENIC ENLARGEMENT.— See Fever, Intermittent. 

SPRAINS.— See Bruises. 

STINGS.— See Bites and Stings. 

STOMATITIS. 

A. J. Perkins says that this complaint, "nursing sore 
mouth," is usually mild and easily palliated, but in many cases it 
is very severe and makes the nursing period one of great suffer- 
ing. It usually commences soon after the nursing commences, 
and continues until the child is weaned. He does not attempt 
to explain its etiology. For many years he has been looking for 
a remedy, and now thinks he has one which will make short 
work of the disease. This is sodium sulphite. He gives it in 
solution, a drachm to a cup of water, a teaspoonful every hour 
until bed-time each day. For those who dislike the taste of the 
sulphite a syrup is used: — 

Ifc Sodii sulphitis, 3j. 

Pulv. rhei, gr. x-xx. 

Glycerini, f§ii-iv. 

Aquae bullientis, q. s. ad Oj. 
Misce. 

Sig. : Teaspoonful every one, two, or three 
hours as urgency of symptoms indicates. 



406 Hand-Book of Modern Treatment. 

IJ Potassii chloratis, 3v. 

Saponis medic, 3iiss. 

Calcii carbonatis, 3v. 

Olei menthae pip., m xv. 

Olei caryophylli, m iv. 
Misce. 

Sig. : Use as dentifrice. 
Indication: Mercurial stomatitis. 



Ifc Potassii chloratis, 

Tinct. myrrhae, gr. xlv. 

Aquae destillatae, §vj. 
Misce. 

Sig. : Use externally as mouth wash or to 
wash oral cavity. 

Indication: Used in aphthous stomatitis. 



Ifc Saloli, gr. xv. 

Catechu, gr. xxx. 

Spiritus menthae pip., §iss. 
Misce. 

Sig.: A teaspoonful in a tumbler of hot 
water. 

Indication: Used in smokers' stomatitis. 



STRANGURY. 

I£ Extracti belladonnas, gr. i-iv. 

Olei theobromae, 3ss. 
Facit suppositorium no. j. 
Sig. : Introduce into the bowel and repeat in 
four hours if necessarv. 



IJ Tinct. veratri viridis, f3ss. 
Morphinae acetatis, gr. ij. 
Spiritus aether is nitrosi, fgj. 
Liq. potassii citratis, q. s. ad f^viij. 

Misce. 

Sig. : Shake. Tablespoonful in water every 
two hours. 

Indication : Used in acute inflammation of 
the bladder and prostate. 



Hand-Book of Modern Treatment. 4Q7 



IJ Tinct. cannabis Indicse, f£j. 
Sig. : A half-teaspoonful every four hours. 
Indication: Used when urine is bloody and 
when due to spinal disease. 

IJ Pulveris opii, gr. ii-iv. 

Olei theobromse, 3j. 
Misce et fiant suppositoria no. ij. 
Sig. : Introduce one into the bowels and re- 
peat in four hours if necessary. 



STRUMA.— See Rickets and Scrofulosis. 



STYE. 

IJ Hydrarg. oxidi rubri, gr. xij. 

Petrolati, 3iv. 

Ung. aquse rosse, 3iv. 
Misce. 

Sig. : Apply night and morning after a thor- 
ough cleansing with hot boric solution. 

If very distressing and involving much of the lid the stye 
should be incised, with full antiseptic precautions. 

IJ Hydrarg. chloridi corrosivi, gr. 3 / 2a . 

Vaselini, gr. 3vii-xlij. 
Misce et fiat unguentum. 
Sig. : Ointment for eyelids. 

IJ Sulphur, sublimati, gr. xlvj. 

Ammonii chloridi, gr. xv. 

Aquse rosea, f§j. 

Spiritus camphorse, f3iss. 
Misce et fiat collyrium. 
Sig. : For local use on eyelids. 

IJ Hydrargyri oxidi flavi, gr. iss. 

Adipis lanae hydrosi, SiVs- 

Glycerini, q. s. 
Misce et fiat unguentum. 
Sig.: Eye ointment. 



408 Hand-Book of Modem Treatment. 

According to an abstract in the Medical Kecord, the lash 
should be removed from the center of the inflammatory area. 
The swelling should be carefully touched with tincture of iodine 
or pure carbolic acid. When pus is present it should be released 
by a small incision. The pain will be relieved by warm fomenta- 
tions. A weak mercurial ointment will generally cause the dis- 
appearance of the remaining thickening of tissue. The diet 
should be regulated when there is any constitutional disturb- 
ance. 

IJ Hydrarg. oxidi rubri, gr. iss. 

Vaselini, 3v. 
Misce et fiat unguentum. 
Sig. : For external use. 

I£ Acidi borici, 3j. 

Aquae rosae, q. s. ad f^iv. 
Facit lotio: 
Sig. : Apply freely lukewarm. 

SUPPURATION.— See Abscess. 

SWEATING. 

In the night-sweats of phthisis camphoric acid in the dose 
of 1 / 2 drachm taken one hour before bed-time is a valuable 
remedy. This dose is best given on the tongue and washed down 
with a swallow of water. Other drugs of use are atropine, picro- 
toxin, agaricin, acetate of thallium, and guaiacolate of piperi- 
dine. Of late the opinion has been expressed by several observers 
that, since the perspiration of night-sweats has been found on 
analysis to contain tuberculin, no attempt should be made to 
lessen the sweating, but that, on the other hand, it should be 
encouraged. 

1$. Balsami Peruvianas, m xv. 

Acidi formici, gr. lxxx. 

Chloralis hydratis, gr. lxxx. 

Alcoholis (pure), §iiiss. 
Misce. 

Sig. : Sponge the body with the foregoing 
combination at bedtime. 



Hand-Booh of Modern Treatment. 409 

The following combination is frequently used locally in the 
treatment of night-sweats: — 

Ifc Aluminis, 3iv. 
Alcoholis, 3ij. 
Aquse, Oj. 
Misce. 

Sig. : Apply locally night and morning with 
a sponge. 

Indication: Night sweats due to tubercu- 
losis. 

1^ Plumbi acetatis, gr. x. 
Extracti gentianse, q. s. 
Misce et fiant chartulas no. xij. 
Sig. : Three to four powders daily. 

B Aluminis, 3iv. 

Acidi acetici diluti, f^iv. 

Aquse, q. s. ad Sxvj. 
Misce. 

Sig. : Sponge the body several times daily. 
Indication: Used to prevent night sweats. 

IJ Acidi borici, gr. xv. 

Sodii boratis, 3vj. 

Acidi salicylici, 3vj. 

Glycerini, ^iss. 

Alcoholis, q. s. ad Siij- 
Misce et fiat lotio. 
Sig. : For local application. 
Indication : Sweating feet. 

I£ Sodii salicylici, gr. xxx. 

Kali permanganatis, 3j. 

Bismuthi subnitratis, 3xij. 

Pulv. talci, q. s. ad giij. 
Misce et fiat pulv. 

Sig.: Dust on feet and into stockings and 
shoes every morning. 

IJ Acidi borici, Sij- 

Acidi salicylici, 3j. 
Misce. 

Sig. : Used as a dusting powder upon feet 
and also in the stockings. 



410 Hand-Book of Modern Treatment. 



$ Tinct. belladonnse, gss. 
Sig. : One or two drops three times daily, 
gradually increased to five or six. 

Indication: Used to control sweating. 

(1) Boot socks may be used made of filter paper, linen or 
cork, soaked in a mixture of potassium permanganate, 1 gram 
(15 grains) ; water, 100 cubic centimeters (S 1 ^ ounces) ; thy- 
mol, 0.5 gram (8 grains) ; and then dried. They should be 
changed daily. (2) A lotion of naphthol, 5 parts; glycerine, 10 
parts; alcohol, 100 parts; this to be followed by a powder of 
naphthol and starch, 1:90. (3) Socks may be powdered with 
talc, 40 parts; bismuth subnitrate, 45 parts; potassium per- 
manganate, 3 parts; sodium salic}date, 2 parts; rice powder, 
60 parts. (4) Perchloride of iron, 30 parts; glycerine, 10 parts. 
(5) A lotion of quinine sulphate, 5 parts; tannin, 2 parts; alco- 
hol, 100 parts; water, 250 parts; to be followed by a powder 
of salicylic acid, 3 parts; starch, 10 parts; talc, 87 parts; alum, 
45 parts. (6) Tincture of belladonna, 25 parts; eau de Cologne, 
120 parts. 

SYCOSIS. 

I£ Sulphuris prsecipitati, 3ss-iss. 

Ichthyoli, 3i-iss. 

Petrolati. q. s. ad 5j. 
Misce. 



3 Resorcini, 3j. 

Glycerini, f3ij. 

Ung. aquse rosae, q. s. ad Sij- 
Misce. 

Sig.: Apply several times daily. 
Indication: To be used after crusts have 
been softened with oil. 

J£ Liq. arsenici et hydrarg. iodidi, f3ij. 

Syrupi zingiber is, f§j. 

Aquse destillatse, q. s. ad f§iij. 
Misce. 
Sig. : Teaspoonful after each meal. 



Hand-BooJc of Modern Treatment. 411 



I£ Hydrarg. oleatis (5 to 15 per cent.), 3ij. 
Sig. : Paint over the affected part. 

IJ. Ung. hydrarg. nitratis, 3iv. 

Sulphur is, 3ij. 

Creosoti, gtt. x. 

Adipis lanse hydrosi, Si-ij- 
Misce et fiat unguentum. 
Sig. : Rub in well. 



SYNOVITIS. 

Ifc Chloralis hydratis, 3iv. 
Phenolis, 3ss. 
Aquae, q. s. ad Oj. 
Misce. 

Sig. : Apply as hot as possible upon layers 
of lint, changed every hour, and covered with 
oil silk. 

I£ Ichthyoli, Sij. 

Adipis lanse hydrosi, §ij. 
Misce. 

Sig. : Apply freely upon cloth and place 
joint at rest. 

Indication: Used in acute cases. 

I£ Liq. plumbi subacetatis, %ij. 

Tinct. opii, §ij. 

Aquae bullientis, q. s. ad gxxxij. 
Misce. 

Sig. : Apply upon soft cloths and place joint 
at rest. 

Indication: Used in acute synovitis. 

B Tinct. iodi, f£j. 

Sig. : Apply with a brush every second or 
third day. 

R Potassii iodidi. 3iv. 

Sodii salicylatis, f3iv. 

Aquae menthae pip., q. s. ad §iij. 
Misce. 
Sig. : A teaspoonful in water after meals, 



412 Hand-Book of Modern Treatment. 

R, Emplastri cantharidis. 

Sig. : Apply every night until the skin is 
well reddened. If this does not avail, leave on 
until a bleb is formed, which may be cut, poul- 
ticed, and dressed with simply cerate. 

Indication: In the chronic form. 



SYPHILIS. 

Otto Lerch, in American Medicine, advocates the adminis- 
tration of mercury by inunctions in syphilis. He concludes that 
the virus spreads from the seat of infection along the lymph 
channels, and that the glands remain swollen when no other 
symptoms of the disease can be discovered. Secondary infec- 
tion of the vessels, viscera, and nervous system takes place, and 
late infection can be easily explained by such deposits of virus. 
In support of his views he states if the drug is used by mouth 
it has to travel a circuitous route to reach the original deposits, 
and part of it is lost by way of the intestines, kidneys, and liver. 
If given by injections of soluble salts, it meets a similar fate, 
as it is largely taken up by blood-capillaries, and this is also true 
if administered by injection of insoluble salts, though better 
results seem to have been obtained by this method, which gives 
the lymphatics a better chance. 

It is true that the employment of mercury by inunction is 
inconvenient, dirty, and tiring, and that a stomatitis, intestinal 
colics, erythema, and eczema cannot always be avoided and that 
the exact amount of the mercury absorbed cannot be determined. 
Most of these defects are shared by the other methods, and es- 
pecially this last point upon which so much stress has been laid 
offers no more certainty than we encounter when the drug is 
administered by mouth or hypodermic injection. 

However, the mercury used by inunction is taken up by the 
fymphatics and brought immediately and directly in contact 
with the virus, immunizing the glands and making them unfit 
for deposits of the poison. Inunctions are painless, do not 
disturb the digestive system, and, above all, clinical experience 
shows "they give superior results/' 



Hand-Book of Modern Treatment. 413 

The following is the treatment used by Lerch : — 

If the nicer can be extirpated without difficulty it ought to 
be done in every instance to insure healing by first intention, 
to modify favorably general infection, and perhaps prevent it 
altogether in a few cases. After positive diagnosis has been 
made, generally only after the appearance of constitutional 
symptoms, characteristic enlargement of glands, skin eruptions, 
etc., mercury ought to be administered. 

The mercury may be given by inunction in from 3-gram 
to 7.78-gram (45 to 120 grains) doses; in severe cases, blue 
ointment should be used each twenty-four hours. 

The patient is directed to divide the amount into two equal 
parts, and use one for each leg over the inside, with vigor- 
ous massage. It is necessary to continue the rubbing for fifteen 
minutes over each side to cause absorption, and it is best to 
control the time by the watch, as the process is tedious and too 
often the time of rubbing shortened by the patient. The second 
day the process is repeated over the inside of the thighs in the 
same manner, the third day the inside of the arms, fourth day, 
chest and abdomen ; the fifth day the back must be treated, and 
on the sixth day a full warm bath for cleaning purposes is ad- 
ministered. To prevent colds, especially during the winter, the 
patients are directed to use the inunction before retiring. The 
patient may use the inunction himself during the first four days, 
after full instructions, or all may be given by a professional 
masseur. Thirty inunctions generally constitute a full treat- 
ment. In other words, the process has to be repeated six times. 

E. Gr. Ballenger, after discussing the various mercurial and 
iodide treatments, says that cases are occasionally encountered 
where these drugs alone not only prove ineffectual, but actually 
aggravate the symptoms and hasten the destruction of tissue. 
For these cases the author states that Cooper, in the Practi- 
tioner, of London, advises the Zittman treatment, which, after 
two weeks' use, will arrest the disease and cause a rapid healing 
of the lesions. The principle of the treatment consists in 
eliminating the poison from the system by purgation and sweat- 
ing. The patient is kept in a room, the temperature of which is 
maintained at 80° F. The evening before the treatment is be- 
gun two of the following pills are administered: — 



414 Hand-Book of Modern Treatment. 

IJ Hydrarg. chloridi mitis, gr. ij. 

Ext. colocynthidis, gr. v. 

Ext. hyoscyami, gr. ij. 
Misce et fiant pilulae no. ij. 

The diet is regulated and for the first four days the patient 
drinks a half -pint of the following decoction, as hot as possible, 
at 9, 10, and 11 a.m., and 12 m. : — 

IJ Rad. sarcse contus., 3iv. 
Sem. anisi contus., j^viiss. 
Sem. foeniculi contus., 3viiss. 
Fol. sennse, Sj- 
Rad. glycyrrh. contus., 3iv. 

Add in linen bag: — 

IJ Sacchr. alb., 3iss. 
Aluminis sulph., 3iss. 
Hydrarg. chlor. mit., 3iss. 
Hydrarg. bisulph. rub., gr. x. 
Aquae cong., iij. 

Boil gently down to one gallon, strain, and put into four 
40-ounce bottles. 

On the same days, at 3, 4, 5, and 6 p.m., half-pint of the 
following decoction is taken cold: — 

To the dregs from No. 1 decoction add : — 

IJ Rad. sarcse contus., §ij. 
Cort. limonis contus., 3j. 
Cardamon. contus., 3j. 
Glycyrrh. contus., 3j. 
Aquse, Cong. iij. 

Boil gently down to one gallon, strain, and put into four 
40-ounce bottles. 

The patient is kept in bed except for an hour each evening, 
when he may sit up. On the fifth day he is given a hot bath 
and allowed to get up. In the evening two pills are admin- 
istered, the patient starting the decoctions again on the next day 
as before. The treatment goes on in the same way until the 
fifteenth day, when it is discontinued. 



Hand-Bool- of Modern Treatment. ^\q 

Good results are claimed from its use in all tertiary lesions 
of syphilis as well as in many skin diseases and in rheumatic 
and gouty affections. 

Ifc Potassii iodidi, §j. 

■Ferri et amnion, citratis, 3j. 

Strychnin* nitratis, gr. x / 3 . 

Oleosacchari nienth. pip., gr. lxxv. 

Aquae aurantii flor., q. s. ad f§iv. 
Mi see. 

Sig. : One teaspoonful in a pint or more of 
water. 

1^ Tabellas hydrarg. chlor. corros., gr. x / 35 . 

Fiant tabellae no. xv. 

Sig. : One tablet hypodermically daily. 

1$. Potassii iodidi, ^j. 
Aquae destillatae, f^j. 

Misce. 

Sig.: Ten drops after each meal, in water, 
and gradually increased to the limit of tolerance. 
Sodium, ammonium, or strontium iodide can be 
substituted for the potassium. 

Indication: Headache in brain syphilis. 

I£ Hydrarg. iodidi rubri, gr. iss. 

Potassii iodidi, gr. ix. 

Sodii phosphatis, gr. xv. 

Aquae destillatae, f^ij. 

Sol. sodii chloridi ( decinormal) , f§ij. 
Misce. 

Sig. : Sixteen drops by hypodermic injection 
once daily. 

I£ Hydrarg. iodidi flavi, gr. v-x. 

Strychninae sulphatis, gr. ss. 

Ferri sulphatis, gr. xx. 

Pepsini pulv., gr. xl. 
Misce et fiant capsulae no. xx. 
Sig. : One capsule after each meal. 
Indication : Useful when there is malaise 
and anaemia. 



416 Hand-Book of Modem Treatment. 

IJ Acidi salicylici, gr. xviij. 

Ichthyolis, gr. xxx. 

Ung. aquae rosae, 3viiss. 
Misce. 

IJ Hydrarg. chloridi mitis, gr. xv. 
Ung. aquae rosae, 3viiss. 

Misce. 

Sig. : Rub palms of hands each evening at 
bedtime, and wear gloves at night. 

Indication : ( 1 ) Used to cure palmar psoria- 
sis, and (2) to prevent its recurrence. 

I£ Hydrarg. chloridi corrosivi, gr. iij. 

Chloralis hydratis, 3j. 

Resorcini, 3ss. 

Olei ricini, gr. xv. 

Alcoholis, 31-0iij. 
Misce. 

Sig.: Apply daily. 
Indication : Used in syphilitic alopecia. 

B Hydrarg. iodidi rubri, gr. j. 

Potassii iodidi, 3iv. 

Syrupi sarsaparillae comp., f§ij. 

Aquae fgij. 
Misce. 

Sig. : A teaspoonf ul three times daily after 
meals. 

Indication: Mixed treatment. 

1$ Potassii iodidi, 3ii-iv. 

Hydrarg. chloridi corrosivi, gr. ss. 

Syrupi aurantii cort., f£j. 

Aquae destillatse, q. s. ad f£ij. 
Misce. 

Sig. : Teaspoonful three times daily. 
Indication: Mixed treatment, 

IJ Hydrarg. chloridi corrosivi, gr. j. 

Potassii iodidi, 3ij. 

Tinct. gent, comp., f§iij. 
Misce. 

Sig. : Teaspoonful three times daily after 
meals. 

Indication: Mixed treatment. 



Hand-Book of Modern Treatment. 417 

Jacobi recommends the following treatment: A syphilitic 
infant should be nursed by its mother but never wet-nursed; 
treatment should be carried out for two years, with periods of 
intermission. Mercury does not affect the mouth and bowels of 
infants like it does those of adults. Calomel, 1 / 8 grain, three 
times daily for many weeks; iron, if the infant is anaemic (no 
reliance is to be placed on mercury given to the mother) ; mer- 
cury with chalk, in doses of 1 / 6 to 1 / 3 grain, may be given. 
Inunctions of blue ointment are of value, but are apt to do 
harm, as the skin of the infant is very sensitive. In urgent cases 
the hypodermic injection of 10 or 15 drops daily of the following 
solution is advantageous: bichloride, 1 part; sodium chloride, 
2 parts; water, 200 to 300 parts. Inject deep into the muscular 
tissue. Bichloride bath, 1 to 1000, in extensive skin-lesions, does 
well ; iodides are not needed in the secondary stage ; in syphilis 
tarda, potassium iodide. In iodism, affecting the mucous mem- 
brane, potassic chlorate and atropine; in ill nutrition, iron and 
arsenic. 

Indication: Used in hereditary syphilis. 



I£ Iodoformi, 3iij. 

Camphorse, 3iij. 

Morphine, gr. ij. 

Pulv. acacia;, 3ij. 

Acidi tannici, gr. x. 

Bisnmthi subnitratis, 3iv. 
Misce. 
Sig. : Use with powder-blower. 



I£ Iodi puri, gr. xx. 
Kalii iodidi, gr. lx. 
Acidi carbolici, 3ss. 
Olei eucalypti, 3j. 
Boroglyceridi, 3iij. 
Olei menthse pip., m x. 
Glycerini tannat., q. s. ad §j. 
Misce. 

Sig. : Apply with a probang or camel's hair 
pencil. 

Indication: Used in syphilitic lesions of the 
throat and nose. 

27 



418 Hand-Book of Modern Treatment. 

1$ Hydrarg. ehloridi corrosivi, gr. xx. 

Tinct. cantharidis, f^jss. 

Tinct. capsici, f§ss. 

Glycerini, f§j. 

Olei ricini, f§j. 

Spiritus colognensis, q. s. ad Sviij. 
Misce et fiat lotio. 
Sig. : Rub in scalp night and morning. 

IJ Hydrarg. iodidi rubri, gr. v. 

Olei verbense, m ij. 

Petrolati, 3j- 
Misce. 
Sig.: Rub well into the scalp at bedtime. 



The following formula for use in the tertiary stage: — 

1$. Iodi resubl., gr. viij. 

Potassii iodidi, Sviij. 

Syrupi sarsaparillge comp., f^viij. 
Misce. 
Sig. : One drachm dose. 



As a local application to the chancre : — 

1$ Olei mirbani, m iv. 

Balsami peruviani, 3iij. 

Iodoformi, 3ij. 

Petrolati, q. s. ad Sj. 
Misce. 

I£ Hydrarg. ehloridi mitis, g.ij. 

Lycopodii, Sij- 
Misce. 

Sig. : Use as a snuff three times daily. 
Indication: Used in syphilitic lesions of the 
nose. 

R Hydrarg. cum cretse, 3j. 
Fiant chartulse no. xl. 
Sig.: One powder three times daily. 
Indication: Used in infants instead of yel- 
low iodide. 



Hand-Book of Modern Treatment. 419 

B Ung. hydrargyria 3ij. 

Pone in chartulse no. xvj. 
Sig. : One package applied by thorough in- 
unction once daily. 

TABES. — See Locomotor Ataxia. 

In 1901 Negro announced that in 8 out of 11 cases of tabes 
the fulminating pains were arrested by administration of san- 
tonin, while two others were much improved and only one 
proved refractory. Combemale reports in Echo Medical his 
experience with it in 16 cases of various nervous affections. In 
7 cases not the slightest effect was appreciable, whether the 
patients took larger or smaller doses, in shorter or longer courses. 
These were all cases of neurasthenia or ordinary neuralgia. 
On the other hand, in the 9 cases of tabes the fulminating pains 
were unmistakably arrested in 5 by the medication. Negro's 
dose was 15 centigrams of santonin in three closes of 5 centi- 
grams each at an hour's interval, given during the attack. 
Combemale gave smaller amounts, longer continued, but has 
become convinced that Negro's method is preferable. He found 
that gastric crises followed the subsidence of the fulminating 
pains in one case in which the santonin had been given con- 
tinuously for a maximum period. He remarks that xanthopsia 
is the first sign of incipient intoxication and requires suspension 
of the drug, but at this early stage of intoxication there is no 
danger of serious consequences from it. He is inclined to try 
a preventive course of 15 centigrams in future when fulminating 
pains are imminent. 

M. Collet, of Lyons, writes that hitherto santonin has been 
employed against the fulgurant pains of tabes with different re- 
sults. In one case of severe and frequent laryngeal crises of 
several years' duration, and which had resisted all methods of 
treatment, the symptoms vanished in three days under the in- 
fluence of a daily close of 45 centigrams of santonin, taken in 
three doses. This treatment was continued for two months 
without inconvenience. At the end of eight months there was a 
return of the laryngeal symptoms which obliged recourse again 
to the medicine, and on this occasion it was used with equal 
success (only one slight crisis in a month). Since the santonin 



420 Hand-Booh of Modern Treatment. 

influences favorably in certain cases the fulgurant pains of 
locomotor ataxia, it need not* surprise us to see the same drug 
determine the disappearance of the laryngeal crises, a spasmodic 
phenomenon which has its point of departure from a sensory 
surface. The action of santonin upon the fulgurant pain being 
inconstant, it is probable that the action upon the laryngeal 
crises will be the same. The laryngoscope shows a paresis of the 
abductors of the glottis. 

Small doses of mercury and potassium iodide are a very 
efficient combination in the treatment of tabetic and neuritic 
pains, combined as follows: — 

B Hydrarg. biniodidi, gr. 1 / 6 . 

Potassii iodidi, 3j. 

Aquae, £iij. 
Misce. 

Sig. : Thirty drops to be injected about the 
seat of the pain. 

The same treatment is also recommended in the obstinate 
late manifestations of syphilis. It aids in the rapid absorption 
of the gummatous lesion. 

I£ Hydrarg. benzoatis, gr. xv. 
Amnion, benzoatis, gr. lxxv. 
Aquse destillatae, q. s. ad %\\]. 

Misce. 

Sig.: Inject deeply into buttock, beginning 
with fifteen grains and increasing gradually to 
two drachms. 

I£ Hydrarg. biniodidi, gr. xv. 

Sodii iodidi, q. s. to dissolve the mercury. 
Aquse destillatae, q. s. ad giiiss. 

Misce. 

Sig.: Dose may be increased to 90 minims 
daily. 

I£ Liq. potassii arsenitis, §j. 

Sig. : One drop three times daily after meals 
and increase till oedema above the eyes. Then 
reduce to smaller dose. 



Hand-Booh of Modern Treatment. 421 



TAPEWORM. 

The patient is instructed to thoroughly clean out the bowels 
by purgatives the day previous to the administration of the 
remedy. In the morning, as early as possible, a 20-grain capsule 
of pelletierine tannate is given, and after this has operated fully, 
which is usually in about two or three hours, the following pre- 
scription is administered: — 

Ifc Oleoresinse aspidii, 3ij. 
iEtheris, 3ij. 
Hydrarg. chloridi mitis, gr. xij. 

This is divided into sixteen capsules and one given every 
ten minutes, no food being taken. In about two or three hours 
the worm will be expelled whole, with its head intact. 

I£ Granati radicis, §ss. 
Seminis peponis, 5j- 
Ext. filicis maris ether, 3j. 
Pulv. ergotse, 3ss. 
Pulv. acacise, 3ij. 
Olei tiglii, gtt. ij. 
Misce. 

Sig. : The pomegranate and pumpkin seed 
should be thoroughly mixed in a mortar with 
the ergot and boiled for fifteen minutes in water 
and strained. The croton oil is first mixed with 
the acacia and the male fern and then formed 
into an emulsion with the decoction. 

The following combination containing pelletierine tannate 
has been used with almost uniform success in treatment of tape- 
worm, but it disturbs the stomachs of some patients: — 

1$. Oleores. aspidii, f3iv. 
Olei terebinthinae, f3ij. 
Pelletierine tannatis, 3j. 
Spiritus chloroformi, f3j. 

Misce. 

Sig.: Shake well. One teaspoonful in the 
morning on an empty stomach, followed in 
about two hours by a saline cathartic. 



422 Hand-Book of Modern Treatment. 

After the contents of the intestinal canal have passed we 
may begin with the following prescription : — 

I£ Bismuthi subnitratis, 3j. 

Saloli, gr. xxiv. 

Syrupi tolutani, 3ij. 

Mucilaginis acaciae, q. s. ad §ij. 
Mi see. 
Sig. : Teaspoonful every three or four hours. 

IJ Pepo (seeds), 3x. 
Ext. granati, 3iiss. 

Misce. 

Sig. : Divide into twenty parts and take five 
every half-hour, after fasting for twenty-four 
hours. 

One-half hour after the last close a combination of tinctura 
jalapse composita and syrupus frangTilge should be given. 



TETANUS. 

I£ Tinct. iodi, m xv. 
Alcoholis, m xxx. 
Misce. 

Sig. : Five drops in half a tumbler of hot 
water every half-hour. 

Indication: Tetanic uterine contractions. 

Ten minims of a 10-per-cent. carbolic acid solution were in- 
jected hypodermically, and after fifteen minutes 20 minims in 
addition, in a boy of 12, with general symptoms of tetanus, 
dyspnoea, and opisthotonos ten days after injury to the foot. 
After the third day there was improvement, and he gradually 
recovered. 

I£ Ext. physostigmatis, gr. ij. 
Aquse destillatae, f3j. 

Misce. 

Sig. : Ten minims every two hours hypo- 
dermically as required. To be pushed just 
short of arresting breathing. 



Hand-Book of Modern Treatment. 423 



IJ Chloralis hydratis, 3ss. 

Syrupi aurantii cort., §iss. 

Aquae, q. s. ad f§iij. 
Misce. 
Sig. : A dessertspoonful as required. 

I£ Liq. potassii arsenitis, fgj. 
Sig. : Five to eight drops, well diluted, every 
three hours. 

1$. Potassii bromidi, giss. 
Fiant chartulse no. xij. 

Sig. : One powder in water every three or 
four hours. 

Indication: To relax spasm. 

1$, Tetanus antitoxin, 

Sig.: Used as conditions indicate. 



THREADWORMS.— See Worms. 
THRUSH.— See Aphthse. 

IJ Sodii bicarbonatis, 3j. 

Sodii boratis, 3ss. 

Syrupus idsese, 3vj. 
Misce. 
Sig. : To be used as a mouth wash. 

I£ Glycerini, 3vj. 

Amyli, 3j. 

Sodii boratis, 3j. 
Misce. 
Sig. : Apply with a camel's hair brush. 

A drachm of sodium hypophosphite to an ounce of rose- 
water makes an excellent mouth-wash for thrush. 

IJ Sodii hyposulphatis, gr. xx. 
Aqnse destillatae, 3v. 
Glycerini, 3iij. 
Misce. 

Sig. : One teaspoonful every two hours to 
be taken internally, and it should be applied 
locally with a camel's hair brush. 



424 Eand-BooJc of Modern Treatment. 

The following combination is also recommended as of great 
value as an antiseptic and astringent: — 

IJ Zinci sulphatis, gr. ii-v. 

Aquse rosse, Bij- 
Misce. 
Sig. : Apply locally. 

Baginsky recommends the application of potassium perman- 
ganate topically in a 1 to 25 solution, and resorcin internally in 
solution of 1 to 100, 1 to 4 teaspoonfuls being given daily. A 
writer places the greatest faith in the application of iodine com- 
bined as follows : — 

Ifc Tinct. iodi, 3ss. ■ 
Glycerini, 3iiiss. 
Misce. 

Sig. : Apply locally with a camel's hair 
pencil. 

By this latter treatment the disease is completely eradi- 
cated within three or four days after the first treatment. He 
does not ascribe all the curative properties to the iodine, but re- 
gards glycerine a,s a very important factor. This treatment 
surpasses any treatment heretofore instituted; it is harmless 
and rapid in its action. 

While thrush is most frequently a trifling affection and 
readily cured, it at times becomes a very serious trouble, so 
serious that it may threaten the life of the child. In the lighter 
forms of thrush, in which the parasite has as yet spread but 
little and its threads have not penetrated deeply into the epithe- 
lial layer, the treatment is not a very difficult matter. Here the 
hyposulphate of soda is preferred by some: — 

IJ Sodii hyposulphatis, gr. xx. 
Aquae destillatse, 3v. 
Glycerini, 3iij. 
Misce. 

Sig. : One teaspoonful every two hours inter- 
nally and applied topically with a large camel's 
hair brush. 



Hand-Boole of Modem Treatment. 425 

In severer cases the following should be used : — 

Ifc Tinct. iodi, 3ss. 
Glycerini, 3iiiss. 
Misce. 

Sig. : Apply with a large camel's hair pen- 
cil to the tongue, gums, and cheek. 



This application produces a remarkable effect. Some be- 
lieve that it surpasses any other that has hitherto been recom- 
mended. 



Ifc Argenti nitratis, gr. x. 

Aquae, Sj. 
Misce. 
Sig. : Apply with swab. 

I£ Hydrarg. cum cretae, gr. j. 

Pulv. hydrastis, gr. ij. 

Bismuthi subnitratis, gr. iij. 
Misce. 

Sig.: Use at one dose and repeat every 
three or four nours. 



When the secretions are very free, belladonna or atropine 
is useful. 

In some cases the treatment should be begun with small 
and frequent doses of lobelia, repeated until it acts as an emetic. 

Sodium sulphite will be of value when the tongue is broad, 
pallid, and a whitish or yellowish moist coating on it. 

In debilitated conditions, iron in some agreeable form, nux 
and other tonics will be very useful, as occasionally the disease 
will resist almost any remedy until the general health is built up. 



TIC DOULOUREAUX.-See Neuralga. 



426 Hand-Book of Modem Treatment. 



TINEA TONSURANS.— See Ringworm and Sycosis. 

I£ Olei tiglii, 3j. 

Sulphuris prseeipitati, 3ss. 
Phenolis, 3ss. 
Olei amygdalae, q. s. 
Adipis lanse hydrosi, q. s. ad §j. 
Misce. 

Sig. : Epilation should be practiced daily, 
and a slight amount of folliculitis produced by 
use of the above prescription. 



In the treatment of tinea tonsurans of children the Medi- 
cal Eecord recommends that the hair be cut as close as possible 
once a week. Every third day the head should be washed with 
soap and warm water. Morning and evening the scalp should be 
massaged, triturating the diseased areas vigorously. Following 
the massage, prolonged friction should be applied with the fol- 
lowing application : — 

Ifc Olei ricini, 3j. 

Tinct. cantharidis, 3j. 

Spiritus camphorse, §iv. 
Misce. 
Sig. : To be applied locally to the scalp. 



IJ Hydrarg. ammoniati, gr. vj. 

Hydrarg. oxidi rubri, gr. vj. 

Adipis lanss hydrosi, §j. 
Misce. 
Sig. : Use after epilation and washing. 



TINEA VERSICOLOR. 

I£ Resorcini, 3i-iiss. 
Olei ricini, 3xiss. 
Alcoholis, 3xxxviiiss. 
Balsami Peruvianas, gr. viiss. 

Misce. 

Sig.: Apply locally. 



Hand-Book of Modern Treatment. 427 



I£ Acidi salicylici, gr. xlv. 
Sulphuris loti, 3iiss. 
Adipis lanse hydrosi, 3xiiss. 
Vaselini, 3iiss. 
Misce. 

Sig. : After rubbing well with tar soap, rub 
in the ointment well every evening, and wash 
off in the morning. 



TINNITUS AURIUM. 

3 Acidi hydrobromici diluti ( 10 per cent. ) , 

Sig. : One-half to one teaspoonful in a wine- 
glassful of sweetened water thrice daily. 



I£ Pilocarpine hydrochloratis, gr. j. 

Sacchari lactis, gr. xviij. 

Alcoholis, q. s. 
Misce et fiant tabellae triturationes no. xij. 
Sig. : One tablet night and morning. 
Indication: Used in rheumatic and gouty 
subjects with thickening of the ear drum. 

3$ Ammonii chloridi, 3iv. 

Tinct. cimicifugse, f§iss. 

Syrupi aurantii norum, q. s. ad f^iij. 
Misce. 

Sig. : Teaspoonful in water after meals. 
Indication: Used in rheumatic subjects with 
chronic otitis media. 



TONSILLITIS.— See Quinsy. 

I£ Sodii salicylatis, 3iss. 

Ferri sulphatis, 3iss. 

Liq. ammon. acetatis, fgiss. 

Syrupi tolutani, q. s. ad §iij. 
Misce. 

Sig. : Teaspoonful three times daily in milk. 
Indication: Useful in rheumatic tendency. 



428 Hand-Book of Modern Treatment. 

I£ Potassii chloratis, 3ss. 

Acidi hydrochlorici diluti, 3ij. 
Tinct. ferri chloridi, 3iij. 
Glycerini, 5j- 

Syrupi tolutani, q. s. ad ^iij. 
Misce. 

Sig.: One teaspoonful in water every two 
hours. 

Indication: Used in acute follicular tonsil- 
litis, preceded by a mercurial or saline purge. 

IJ Tinct. aconiti, m xxiv. 

Sodii salicylatis, 3j. 

Spiritus etheris nitrosi, 3iv. 

Syrupi aurantii florum, §j. 

Aquae destillatae, q. s. ad Siij- 
Misce. 

Sig. : Teaspoonful every one or two hours 
during the fever. 

Indication: Used in acute tonsillitis. 

I£ Argenti nitratis, 3ij. 

Aquae destillatae, q. s. ad Sij. 
Misce. 

Sig. : Apply with camel's brush once daily. 
Indication: Acute tonsillitis and will abort 
the disease in one case out of four. 

F£ Tinct. guaiaci amnion., 3vj. 
Tinct. cinch, comp., 3vj. 
Sodii chloridi, 3ij. 
Pulv. acaciae, q. s. 
Aquae destillatae, ad %iv. 
Misce et fiat mistura. 

Sig.: Shake well. Add teaspoonful of mix- 
ture to wineglassful of water and use as gargle 
three times daily. 

Ifc Quininae sulphatis, gr. xlviij. 

Acidi sulphurici diluti, m xlviij. 

Tinct. aconiti, m xlviij. 

Syrupi pruni virginianae, %]. 

Aquae, q. s. ad 3nj. 
Misce. 

Sig. : One teaspoonful in water every four to 
six hours; dose for an adult. 
Indication: Used in acute cases. 



Hand-Book of Modem Treatment. 429 

Ifc Sodii salicylates, 3iv. 
Potassii iodidi, 3iv. 
Syrupi sarsaparillae comp., gj. 
Aquae, q. s. ad %\\]. 
Misce. 

Sig. : Teaspoonful in water three times 
daily. 

Indication: Used in chronic enlargement of 
this condition. 

In acute cases administer calomel in broken doses nntil the 
desired effect is produced, after which a tablet containing the 
following ingredients is administered: — 

1$, Tinct. aconiti rad., gtt. 1 / 5 . 

Tinct. bryonise, gtt. V 10 . 

Tinct. belladonnas, gtt. V 10 . 

Hydrarg. iodidi rubri, gr. 1 / wo . 
Misce et fiat tabla no. j. 

Sig. : One such tablet every hour to an adult 
until eight are given. 

Alternating with the foregoing, quinine is given in 1-grain 
doses for eight doses. 

Ifc Creosoti, m x. 

Tinct. myrrhae, Sj. 

Glycerini, 3j. 

Aquae, q. s. ad §iv. 
Misce. 

Sig. : Use as a gargle or spray four or five 
times daily. 

IJ Liq. ferri subsulphatis, 3j. 
Glycerini, opt., 3j. 
Spiritus frumenti, §j. 
Aquae puree, q. s. ad §iv. 
Misce. 

Sig. : A half- teaspoonful every hour or two, 
according to severity of the case. Can be used 
advantageously in form of a spray. 

Indication: Used in diphtheritic and other 
ulcerations of the throat. 



430 Hand-Book of Modern Treatment. 

I£ Tinct. guaiaci ammon., 3vj. 
Tinet. cinchonas comp., 3vj. 
Sodii chloridi, 3ij. 
Pulv. acacise, q. s. 
Aquae destillatae, ad Biv. 
Misce et fiat mistura. 

Sig. : Shake well. Add teaspoonful of mix- 
ture to wineglassful of water and use as gargle 
three times daily. 

IJ Sodii salicylatis, 3ij. 

Aquse menthae pip., §vj. 
Misee. 
Sig. : Use as a gargle several times a day. 

In the way of general or systemic treatment of ordinary 
follicular tonsillitis, nothing has been found, in my hands, more 
serviceable than sodium benzoate. It will relieve and dissipate 
all of the unpleasant symptoms in a very short time. It may 
be prescribed according to the following formula: — 

Ifc Sodii benzoatae, 3ss. 

Glycerini, £j. 

Syrupi tolutani, q. s. ad 3iij- 
Misce. 
Sig.: Teaspoonful every hour or two. 

1$ Tinct. iodi, gtt. iiss. 

Sodii chloridi, gr. v. 

Aquae, gj. 
Misce. 

Sig.: As a gargle, to be repeated several 
times through the day. 

In chronic pharyngitis the following is recommended : — 

Ifc Iodi, gr. x. 

Potassii iodidi, gr. xx. 

Glycerini, gj. 
Misce. 
Sig.: To be applied locally on a swab. 



Hand-Book of Modern Treatment. 431 

About 3 minims of the oil of peppermint may be added to 
the foregoing if an anaesthetic effect on the mucous membrane is 
desired. 

Indication: Either of the above in inflam- 
matory, ulcerative, and diphtheritic sore throat. 

I£ Tinct. aconiti, m xl. 

Spiritus setheris nitrosi, f§j. 
Liq. potassii citratis, q. s. ad §iij. 
Misce. 

Sig. : Dessertspoonful every three hours to a 
child ten years old. 

Indication: During fever, preceded by calo- 
mel and saline purge. 

Ifc Aquae hydrogenii dioxidi, f£v. 

Sig. : Used as a spray every hour. 

Indication: Used in ulcerative tonsillitis to 
remove membrane. A pinch of sodium bicar- 
bonate should be added to each atomizer bottle 
of the solution. 

In cases where a rheumatic origin is suspected, guaiac is 
recommended as a fair substitute for the salicylates, combined 
as follows : — 

Ifc Potassii chloratis, gr. v-x. 

Tinct. aconiti, m ij-v. 

Tinct. guaiaci ammon., 3j. 

Mucilaginis acacise, tn xx. 

Aquae, q. s. ad §j. 
Misce. 

Sig. : This amount to be taken at one dose 
and repeated every four hours. 

As soon as the temperature has fallen the aconite should 
be discontinued, but the other ingredients kept up for a time. 
When rheumatism and diphtheria are absent the author recom- 
mends rather a complicated combination, including the tincture 
of iron, which is of value in such cases : — 



432 Hand-BooJc of Modern Treatment. 

I£ Tinct. aconiti, m ii-v. 

Potassii chloratis, gr. v-x. 

Liq. ferri perchloridi, m-xx. 

Liq. hydrarg. perchloridi, mx. 

Glycerini, 3ij. 

Aquse chloroformi, gss. 
Misce. 

Sig. : At one dose and repeated every four 
hours, or half the quantity every two hours. 

[The dose of potassium chlorate is larger than is usually 
recommended.] 

The mercurial preparation is added to combat any cocci 
which escape the iron preparation, and the glycerine is added 
to prolong its local effect in the fauces. 

Mills's medicinal treatment is to gargle with cheap claret 
wine, to , obtain the benefit of the tannic acid therein, every 
two or three hours, or oftener. Aconite in small doses is often 
serviceable in simple tonsillitis, 10-per-cent. solution, 8-drop 
doses every hour, preferably in water. If we find very high 
fever, pulse full and bounding, face flushed, eyes red, and evi- 
dence of intense congestion of the throat, a 1-per-cent. solution 
of belladonna is the best remedy. For follicular tonsillitis the 
remedy par excellence is phytolacca in 1-drop doses as a 1-per- 
cent, solution, every one or two hours, according to the severity 
of the case. If suppuration does occur, nothing will clear it up 
more quickly than calcium sulphide in 1 / 100 -grain doses. 

I£ Potassii bromidi, gr. lxxx. 

Sodii salicylatis, 3j. 

Tinct. opii deodorati, f3j. 

Cascarse cordialis, q. s. ad f^j. 
Misce. 

Sig. : A teaspoonful every four hours in 
water. 

Indication: Acute follicular tonsillitis. 

TONIC. 

IJ Acidi hydrochlorici diluti, 3iv. 

Tinct. gentianse comp., 3iv. 

Tinct. rhei vinos, 3iv. 

Tinct. cinchonae comp., 3iv. 
Misce. 
Sig. : Half a teaspoonful after eating. 



Hand-Book of Modern Treatment. 433 



I£ Strychninae sulphatis, gr. 1 / 60 . 

Acidi phospliorici diluti, mv. 

Ferri phosphatis, gr. j. 

Quininse bisulphatis, gr. j. 

Glycerini, 3ss. 

Elixir aurantii, q. s. ad §ss. 
M. Fiat sol. 

Sig. : Take before each meal. 
Indication: A good general tonic. 



Ifc Tinct. ferri chloridi, 3v. 

Tinct. digitalis, 3v. 

Acidi phospliorici diluti, 3x. 

Glycerini, 

Aquae, of each, q. s. ad %xv. 
Misce. 

Sig. : One teaspoonf ul in wineglassful of 
water after each meal, through a glass tube. 
Indication: Tonic after a surgical operation. 

R, Acidi hydrochlorici diluti, 3j. 

Bismuthi subnitratis, 3j. 

Ess. pepsini, q. s. ad %iv. 
Misce. 

Sig. : Shake well. A teaspoonful in water 
after eating. 

3 Tinct. nucis vomicae, m iv. 

Acidi phospliorici diluti, m iv. 

Glycerini, m x. 

Fluidextracti gentianae, m ij. 

Alcoholis diluti, m xv. 

Vini xerici, q. s. ad f3j. 
Misce. 

Sig. : One teaspoonful after meals. 
Indication: Good general tonic. 



1$. Acidi arsenosi, gr. ss. 

Extracti nucis vomicae, gr. v. 
Ferri reducti, gr. ij. 

Misce et fiant pilulae no. xx. 
Sig. : One pill after meals. 
Indication: Used in anaemia. 

28 



434 Hand-Book of Modern Treatment. 

IJ Tinct. imcis vomicae, m iv. 

Acidi phosphorici diluti, m viij. 
Syrupi hypophosphitis, q. s. ad 3j. 
Misce. 

Sig. : One teaspoonful three times daily- 
after meals. 

I£ Asafoetida, 3j. 

Acidi arsenosi, gr. ss. 

Strychninae sulphatis, gr. ss. 

Ext. sumbul, 9iss. 

Ferri subcarbonatis, 9ij. 

Quininae valerianatis, 9j. 
M. Make capsules no. xxiv. 
Sig. : One capsule after each meal. 
Indication: Nervine tonic. 

B Hydra rg. chloridi corrosivi, gr. iij. 

Potassii iodidi, 3j. 

Syrupi sarsaparillae comp., §iij. 

Tinct. gentianae comp., §iij. 

Aquae, q. s. ad gviij. 
Misce. 

Sig. : Teaspoonful one hour after meals. 
Indication: A splendid blood tonic. It has 
given excellent results. 

Iodine is recommended as a tonic and alterative in poorly 
nourished children, combined as follows : — 

IJ Tinct. iodi, m Ixxv. 

Ext. catechu, 3v. 

Alcoholis, f3iiss. 

Glycerini, fgiij. 

Syrupi rnbri, f^vij. 
Misce. 
Sig. : One tablespoonful once or twice daily. 

In rachitic children the following has been advised: — 

R Calcii phosphatis praecipitatis, gr. Ixxv. 

Spt. anisi, f3iiss. 

Syrupi, fSvj. 
Misce. 

Sig.: One tablespoonful every morning be- 
fore breakfast. 



Hand-Book of Modern Treatment. 435 



IJ Ferri et ammonii citratis, gr. v. 
Tinct. nucis vomicae, m v. 
Tinct. cinchonas comp., q. s. ad 3j. 

Misce. 

Sig. : One teaspoonf ul three times daily after 
meals. 



1$. Acidi nitrohydrochlorici diluti, m v. 

Tinct. nucis vomicae, m v. 

Tinct. columbae, m xxx. 

Syrupi limonis, q. s. ad 3j. 
Misce. 

Sig. : One teaspoonful three times daily after 
meals. 



I£ Acidi nitrohydrochlorici diluti, f3i-3ij. 

Tinct. nucis vomicae, f3j. 

Tinct. cardamomi comp., fgij. 

Tinct. gentianae comp., q. s. ad f§iv. 
Misce. 

Sig. : A teaspoonful in water after meals. 
Indication: Excellent tonic for use in con- 
valescence from prolonged fevers. 



I£ Ferri et potassii tartratis, gr. lxxv. 

Extracti cinchonae, gr. lxxv. 

Extracti rhei, gr. lxxv. 

Extracti gentianae, gr. lxxv. 

Pulveris nucis vomicae, gr. viij. 

Olei anisi, m x. 
Misce et fiant pilulae no. c. 
Sig. : One or two pills with each meal. 



I£ Liq. potassii arsenitis, mxvj. 

Elix. kolae compositi, f^iv. 
Misce. 

Sig. : Dessertspoonful after meals. 
Indication: Used in debility where arsenic 
is indicated. 



436 Hand-Book of Modem Treatment. 

TOOTHACHE. 

When this condition arises from a diseased tooth in which 
there is a cavity, Mason recommends that a few drops of the fol- 
lowing combination be placed upon a pellet of cotton and applied 
to the cavity: — 



I£ Linimenti aconiti (B. P.), f3iij. 
Chloroformi, fSiij. 
Tinct. capsici, f3j. 
Olei caryophylli, f3ss. 
Pulv. camphoree, 3ss. 
Sig. : A few drops on cotton placed in the 
cavity. 



fj Olei clavi, m xxx. 

Olei cajuputi, m xxx. 

Chloroformi, m xv. 

Acetici setheris, m xv. 

Mentholis, gr. ix. 

Camphoree, gr. iij. 
Misce. 
Sig. : Apply to tooth. 

IJ Chloralis hydratis, gr. lxxv. 

Cocainre hydrochloratis, gr. xv. 

Camphorse, gr. lxxv. 

Alcoholis, m x. 
Misce. 

Sig. : Apply to the cavity a tampon of cotton 
with a few drops of the solution. 



I£ Chloroformi, m x. 
Glycerini, m x. 
Sol. phenolis sat., m x. 
Morph. sulph., gr. j. 

Misce. 

Sig. : Saturate a small pellet of cotton and 
place loosely in cavity of tooth. If gums are 
swollen and tender, paint with a solution of 
cocaine. 



Hand-Book of Modern Treatment. 437 



I£ Linimenti iodi, m iij. 
Tinct. aconiti, m iij. 
Chloroformi, m xxx. 

Misee. 

Sig. : Dry the gums and apply with a 
camel's hair brush. 



1$, Extracti opii, gr. xv. 
Pulv. camphorse, gr. xv. 
Balsami peruviani, gr. xv. 
Mastiche, gr. xxx. 
Chloroformi, 3v. 

Misee. 

Sig.: Wet a small piece of absorbent cotton 
with this solution and insert in the cavity of 
the tooth. 



Hildebrand states that orthoform instantly and completely 
relieves severe pain due to inflammation of the pulp in decayed 
teeth. It should be applied in alcoholic solution on absorbent 
cotton. 

H. B. Eay gives the following advice on the treatment of 
toothache by the practitioner: Toothache is essentially an in- 
flammatory condition, and in 99 per cent, of the cases there is a 
cavity in the tooth. In those cases where there is a cavity, but 
no nerve exposure, the treatment is simple — apply a sedative 
and exclude the secretions of the mouth from the cavity ; prompt 
relief will follow, and then advise the patient to visit a compe- 
tent dentist. A very effective agent, and one always at hand, is 
the oil of cloves. It should be applied by saturating a pledget 
of cotton with the remedy and introducing it into the cavity 
with a toothpick or other pointed instrument; that being done, 
the secretions are kept out by filling the cavity with a little 
beeswax, a household remedy always at hand. The wax can be 
applied by warming over a lamp on the point of a knife and forc- 
ing into the cavity. The wax filling serves not only the purpose 
of keeping the secretions of the mouth out, but prevents thermal 
changes from affecting the nerve when hot and cold things are 
taken into the mouth. 



438 Hand-BooTc of Modem Treatment. 

IJ Creosoti, f3ij. 

Sig. : Cleanse cavity and pack with cotton 
saturated with creosote. 

Indication: Used in caries with exposed 
nerve. 

IJ Morphinae sulphatis, gr. iv. 

Atropine sulphatis, gr. j. 

Aquse destillatse, f§j. 
Misce. 

Sig. : A few drops on cotton placed in the 
cavity. 

B Tinct. iodi, f3iv. 

Tinct. aconiti, f3j. 
Misce. 

Sig. : Paint the gums twice daily around 
the painful tooth. 

Indication: In dental periostitis. 

IJ Acidi arsenosi, gr. ij. 

Morphinse sulphatis, gr. j. 
Creosoti, q. s. 
Misce et fiat pasta. 

Sig. : Apply by a bit of cotton wool to cari- 
ous portion. 



TORTICOLLIS.— See Myalgia. 



TRICHINOSIS. 

IJ Tetramethyli thionin-chloridi. gr. xxx. 

Saloli, 3iss. 
Misce et pone in capsulas no. xxx. 
Sig. : One capsule every four hours. 
Indication: Used in the intermediate stage. 

IJ Syrupi ipecacuanha, fgj. 

Sig. : Tablespoonful and repeat in twenty 
minutes. 

Indication: Used to unload the stomach 
after ingestion of trichinous food. To be fol- 
lowed by brisk purge. Fever, nausea, vertigo, 
and diarrhoea are relieved by this treatment. 



Hand-Book of Modern Treatment. 439 

R, Sodii sulphocarbolatis, gr. ii-x. 

Aquae, fgij. 
Misce. 

Sig. : To be repeated every three or four 
hours. 

TRISMUS. 

I£ Fluidextracti gelsemii, m xlv. 

Syrupi simplicis, f3j. 

Aquae destillatas, q. s. ad fgss. 
Misce. 

Sig. : Half a teaspoonful every two to four 
hours. 

IJ Coniinae hydrobromatis, gr. Vw 

Aquae destillatae, f3ij. 
Sig. : Two to four minims hypodermically 
and repeat frequently to relax spasm. 

Indication: For infant several days old. 

IJ Tinct. opii, gtt. v. 

Tinct. asafoetidae, fSiss. 

Syrupi simplicis, f3v. 

Aquae, q. s. ad f3xv. 
Misce. 
Sig. : Half a teaspoonful hourly. 

IJ Chloralis, gr. xvj. 

Potassii bromidi, gr. xvj. 

Mucilaginis acaciae, 3iv. 

Aquae, q. s. ad §ij. 
Misce. 

Sig. : A teaspoonful in a little water until 
spasm is relaxed. 

Indication: For infant seven days old. 

TUBERCULOSIS. 

Ifc Iodoformi, gr. i-iij. 

Strychninae sulphatis, gr. V 40 . 

Arsenii iodidi, gr. 1 / 12 . 

Balsami Peruvianas, gr. ii-v. 
Mix and encapsulate. 

Sig.: One capsule after meals three times 
daily. 

Indication: Useful in early stage of the dis- 



440 Hand-Book of Modern Treatment. 

The following prescription meets many indications in tuber- 
culous subjects : — 

IJ Acidi arsenosi, gr. ss. 

Ext. belladonnas, gr. iv. 

Ext. digitalis, gr. iij. 

Ext. nueis vomicae, gr. xv. 

Ferri sulphatis, gr. xxx. 

Quininse sulphatis, 3j. 

Creosoti ( beech wood ) , gr. c. 
Misce et fiant capsular no. xl. 
Sig. : One after each meal and upon retir- 
ing. 

Indication: Useful in chronic pulmonary tu- 
berculosis. 

Ifc Syrupi ferri iodidi, m v. 
Olei morrhuse, m xx. 
Ext. pancreati, gr. j. 
Misce et pone in capsula no. j. 
Sig. : One or two such capsules two hours 
after each meal. 

Indication: Useful in treatment of tuber- 
culous glands. 

IJ Ichthyoli, gr. x. 

Ung. zinci oxidi, 3ij. 

Adipis lanae hydrosi, 3ij. 
Misce et fiat unguentum. 
Sig. : Apply locally night and morning. 
Indication: Used as an external application 
in addition to tonics. 

I£ Iodoformi, 31 j. 

Cocainse hydrochloridi, gr. iss. 
Morphinse sulphatis, gr. ss. 
Misce. 

Sig. : A small amount to be insufflated by 
the patient with a bent glass tube. 

Indication : To relieve from pain in the later 
stages of tuberculous laryngitis. 

It is advisable for patients suffering from this condition to 
take a liberal helping of beef or mutton twice a day, a plenti- 
ful supply of sugary food, and also of fatty food in the shape 



Hand-Booh of Modern Treatment. 441 

of milk, cream, butter, eggs, and fat bacon. It is advantageous 
to begin with one pint of milk per day for one week, increase to 
two pints during the second week, to three pints a day during the 
third week, and then to keep to this amount, or occasionally 
to go on to four pints a day. If a patient cannot take ordinary 
milk, whey may be tried. Koumiss is not advisable when there 
is active pyrexia, but is sometimes useful in other cases, per- 
haps, especially when there is bronchial catarrh. The expector- 
ation should not be swallowed, for one reason, because such a 
habit is one of the commonest causes of dyspepsia. The food 
should be eaten slowly, thoroughly masticated, and the patient 
should rest in the recumbent posture for about half an hour 
before meals and for one hour after meals. Lack of appetite may 
be caused by the presence of syrups in the cough mixture. The 
patient must also be encouraged to eat as much as he reasonably 
can, and in many cases an alkali with a vegetable bitter taken 
twenty minutes or so before meals is the best remedy. The fol- 
lowing is a useful prescription : — 

I£ Sodii bicarbonatis, gr. xv. 

Tinct. nucis vomicae, m vij. 

Infus. gentian, comp., f§j. 
Misce. 

Sig. : Before the two principal meals of the 
day. 

Or, when a sedative action is desired, hydrocyanic acid in 
appropriate dosage may be substituted for the nux vomica. In 
other cases, especially where there is a pale tongue, and flatu- 
lence is a prominent symptom, better results are obtained by the 
administration of acids, with or without strychnine, after food. 
When there are irritative symptoms, such as pain in the region 
of the stomach or vomiting, the codliver-oil, if given, should be 
stopped, the bowels should be opened, and bismuth and hydro- 
cyanic acid should be administered before meals. Sometimes 
morphia is necessary. Where there is a red glazed tongue, with 
loss of appetite and repeated vomiting, it is better to keep the 
patient in bed and to allow only liquid diet, and if this is not suc- 
cessful, it may be necessary to feed the patient by the bowel for 
a few days. 



442 Hand-Book of Modern Treatment. 

Ijt Calcii hyposulphitis, gr. x / Q - 1 / 2 . 

Strychninae sulphatis, gr. Veo 

Acidi arsenosi, gr. Vco-Vso- 

Pulv. ulmi (elm), gr. iv. 
Misce et fiat cachet no. j. 
Sig. : One or two such cachets three times a 
day. 

Indication: Useful in pulmonary tuberculosis. 

For five years Koch has been making systematic use of cam- 
phor in pulmonary tuberculosis. At first he gave it in subcu- 
taneous injections of 1 gramme of camphorated oil for four 
days, with ten-day intervals. His results were extremely satis- 
factory, but the injection method has its drawbacks, so he gives 
the camphor now in inunctions. He makes a salve with about 
0.4 gramme of camphor in the amount rubbed in at one time. 
He uses percutilan as a vehicle, a new substance which he says 
"actually slips through the skin." A little balsam of Peru is 
added and eucalyptus and rosemary oil. These inunctions are 
made by the patient on five successive days and then a ten-day 
pause. The amount of sputum increases remarkably by the sec- 
ond day and then expectoration almost ceases, while the other 
symptoms are correspondingly improved. Equally favorable re- 
sults were observed in emphysema and bronchitis. 

The following combination is recommended as a very effi- 
cient one in controlling the diarrhoea, which is due primarily 
to the general toxic condition: — 

1$, Bismuthi subnitratis, 3vj. 

Fluidextracti coto, 3j. 

Pulv. cretse comp., 3iij. 

Tinct. opii deod., 3iss-3iij. 

Pulv. pepsini, 3j. 

Syrupi zingiber is, q. s. ad 3iij. 
Misce. 

Sig. : Shake and take one teaspoonful after 
each bowel movement. 

I£ Agaricin, gr. 1 / 3 . 

Zinci oxidi, gr. iij. 
Misce et fiat capsula no. j. 
Sig. : One such at bedtime. 
Indication: Used for night sweats. 



Hand-Book of Modern Treatment. 443 

IJ Creosoti ( beechwood ) , gtt. xxxij or 3j. 

Tinct. gentianae, f3j. 

Alcoholis, fgj. 

Vini albi, q. s. ad %iv. 
Misee. 

Sig. : A teaspoonful in water or wine three 
times a day. 

IJ Spiritus chloroformi, f§ss. 

Morphinae sulphatis, gr. j or ij. 

Syrupi pruni virginianae, q. s. ad §iij. 
Misce. 

Sig.: A teaspoonful every four hours. 
Indication: Used when cough is excessive. 

R, Acidi hydrocyanici diluti, gtt. xxiv. 

Potassii bromidi, 3ij. 

Sol. morph. magendie, 3iss. 

Chloralis hydratis, 3ij. 

Spiritus frumenti, §j. 

Syrup i aurant., q. s. ad Sxij. 
Misce. 

Sig. : A tablespoonful when necessary to 
check cough. 

Indication: Used when cough is harassing. 

Cough-syrups are usually combinations of different opium 
ingredients : i.e., if they allay the cough promptly. Codeine is 
the least objectionable of this group. Combined with the follow- 
ing remedies it affords great relief : — 

IJ Codeinae, gr. iv. 

Tinct. belladonnas, 3ij. 

Syrupi scill., §ij. 
Misce. 

Sig. : Teasponful two to four hours apart, if 
coughing. 

TYMPANITES. 

IJ Glycerini, gj. 

Terebinthinae, 3iv. 

Magnesii sulphatis, 3iv. 

Aquae, §vij. 
Misce. 
Indication: Tympanites after child-birth. 



444 Hand-Booh of Modern Treatment. 

In conjunction with the above he gives % grain of calomel 
every two hours until 4 grains have been given. If this fails 
to act, ^4 grain of elaterium is given in two hours. 

Ifc Sodii bromidi, 3j. 
Aquae destillatse, Bj« 
Aquae flor. aur., §ij. 

Misce. 

Sig. : A tablespoonful every two hours, and 
ordering an enema of 1 ounce of glycerine to 
2 to 3 ounces of hot water to be thrown into 
the rectum. 

Indication: Used in tympanites of typhoid 
fever. 

IJ Tinct. asafoetidse, Sss. 

Tinct. cardamomi comp., gss. 
Spiritus ammon. aromat., m xxxij. 
Aquse menthae pip., 3j- 
Misce. 

Sig. : One or two teaspoonfuls in water 
every two or three hours. 

Indication: Used in tympanites of typhoid 
fever. 

R, Guaiacoli carbonatis, 3j. 

Fiant chartulae no. xxx. 

Sig.: One powder every four hours. 

Indication: Used in tympany of typhoid 
fever or in any case with intestinal fermen- 
tation. 

IJ Olei terebinth inse, Sj. 

Olei olivae, §iss. 

Camphor ae, gr. xx. 

Decocti avense, f^viij. 
Misce et fiat enema. 
Sig.: Inject into the bowel. 
Indication: Used in hysterical tympanites. 

I£ Olei terebinthinse, 3j. 
Pone in capsulas no. xij. 
Sig. : One every two or three hours. 
Indication: Used in tympany of typhoid 
fever. 



Band-Book of Modem Treatment. 



445 



1$ Olei terebinthinse, f3j. 
Olei olivae, f3iv. 

Emulsi asafoetidse, q. s. ad f^viij. 
Misce et fiat emulsum. 
Sig. : Used by rectal injection. 
Indication: Used in tympany of typhoid 
fever and peritonitis. Also apply turpentine 
stupes to the abdomen. 



IJ Spiritus aetheris compositi, f§j. 

Tinct. cardamom! comp., fgj. 
Misce. 

Sig. : Teaspoonful every hour or two. 
Indication: Used in tympany of acute in- 
digestion. 



ULCER. 



GASTRIC ULCER. 

Usually in women 25 to 35 

years of age. 
Pain comes on soon after 

eating. 

Pain lessened by vomiting. 

Vomitus contains food-rem- 
nants, mucus, and often 
blood. 

Severe dyspeptic symptoms 
usually present. 



DUODENAL ULCER. 

Most frequent in men. 

Pain two to four hours after 

eating, and located in the right 

hypochondrium. 

Vomiting does not relieve pain. 

Vomiting more rare than in 

gastric ulcer, and does not 

often contain blood. 
Dyspeptic symptoms slight. 



fre- 



^elaena rare. Melsena 


comparatively 


quent. 




IJ Iodoformi, 3iv. 




Petrolati, Sij. 




Misce. 




Sig. : Apply twice freely each day on sur- 




lon's lint. 




Indication: Of great value in syphilitic and 




ibercular ulcers. 





In a case of extensive ulcers of the legs of a somewhat 
rachitic child 2 years old, with ulcers over the back, treated in 
many ways unsuccessfully: — 



446 Hand-Book of Modern Treatment. 

I£ Pulv. amyli, 3ij. 

Zinci oxidi, 3ij. 

Mercurolis, gr. xv. 

Chloretoni, 3ss. 

Petrol ati, Sj. 
Misce et fiat unguentum. . 
Sig. : To be applied on pieces of lint, con- 
stantly recovering the affected areas. 

1$ Argenti nitratis, gr. v. 
Balsami Peruviani, 3iss. 
Ung. simplicis, giij. 
Misce. 

Sig. : Apply locally to the affected areas 
after thoroughly cleansing the parts. 

Indication: Used in treatment of varicose 
ulcers. 

By the above method the ulcers become clean, the secretion 
and odor are diminished, and healing takes place rapidly. 

IJ Picrotoxini, gr. j. 

Morphinae hydrochloridi, gr. j. 

Atropinse sulphatis, gr. 1 / 6 . 

Ergotini, m xx. 

Aquae laurocerasi, 3iij. 
Misce. 

Sig. : Four to six drops five to ten minutes 
before each meal. 

Indication: Used in gastric ulcer. 

1$ Camphorse triturations, 3ss. 

Zinci oxidi, 3viiiss. 

Lani, q. s. ad Svj. 
Misce. 

Sig.: Apply locally. 
Indication: Used on ulcers of the leg. 

IJ Camphorse triturationse, 3ss. 

Zinci oxidi, §iij. 

Olei olivse, §iij. 
Misce. 

Sig.: Apply locally. 
Indication: Used on ulcers of leg. 



Hand-Boolc of Modern Treatment. 447 

I£ Chloroformi, m xviij. 

Bismuthi subnitratis, gr. xlv. 
Aquae, q. s. ad £vss. 
Misce. 

Sig. : One-half tablespoonful every hour or 
two. 

Indication: Used in chronic ulcer of the 
stomach. 



IJ Ung. zinci oxidi, 3ij. 

Sig. : Spread on lint and apply. 

Indication: Used in irritable painful ulcers. 



I£ Pulv. iodoformi, 3ij. 

Pulv. saloli, 3ij. 

Bismuthi subnitratis, 3ij. 

Pulv. cinchonas, 3ij. 

Pulv. benzoini, 3ij. 

Pulv. carbonis, 3ij. 
Misce. 

Sig. : Use as dusting powder locally. 
Indication: Used on varicose ulcers. 



I£ Calcii chloridi, gr. lxxx. 
Syrupi acaciae, £iv. 
Aqu83 menthae pip., Siv. 
Misce. 

Sig. : Tablespoonful every hour. 
Indication: Useful in gastric ulcer when 
haemorrhage occurs, to aid in coagulation of 
the blood. 



In order to insure success in cases of chronic ulceration of 
the legs it is absolutely necessary : ( 1 ) previously to bring the 
ulcer into an aseptic condition; (2) to remove the edge of the 
ulcer before applying the grafts; (3) to treat varicose veins 
or other causes of the ulceration; (4) to insist upon the patient's 
resting the leg for a considerable period afterward until the 
adhesion of the grafts has become firm. 

Indication: Used in varicose ulceration of 
the leg. 



448 Hand-Book of Modern Treatment. 

Ifc Tinct. conii, f3ij. 

Morphinse sulphatis, gr. j. 

Phenolis, m iv. 

Syrupi acacise, f^iij. 
Misce. 
Sig. : A teaspoonful when in pain. 

IJ Hydrarg. ammoniat., gr. xv. 

Olei eucaplypti, m viij. 

Betanaphtholis, gr. x. 

Pulv. marantse, 3ij. 

Ung. zinci oxidi, gj. 
Misce. 

Sig. : Apply locally. 

Indication: Used in chronic eczema tous or 
weeping ulcers. 

Ifc Argenti nitratis, gr. v. 

Pulv. opii, gr. iiss. 
Misce et fiant pilulse no. xx. 
Sig. : One pill thrice daily. 
Indication: Used in gastric uleov. 

R Formaldehydi (40 per cent, sol.), mviij. 

Aquse hydrogenii dioxidi, f^xvj. 
Misce. 

Sig. : Use locally as a wash. 
Indication: Used as cleansing and antisep- 
tic wash. 

I£ Acidi tannici, gr. lxxv. 

Hydrarg. nitratis acidi, gtt. xij. 

Adipis lanse hydrosi, 3viiss. 
Fiat unguentum. 
Sig. : Apply as a dressing. 
Indication: Used in chronic syphilitic 
ulcers. 

IJ Emplastri plumbi, §ij. 

Ung. hydrargyri, £ss. 

Olei cadini, 3ij. 
Fiat unguentum. 

Sig. : Spread on linen and apply. 
Indication Used in inflamed syphilitic 
ulcers. 



Rand-Book of Modern Treatment. 449 



B Tinct. iodi, fgj. 

Acidi tannici, q. s. ad saturandum. 
Misce. 

Sig. : Apply locally to ulcers of rectum and 
anus. 

IJ Balsami peruviani, f3iv. 

Tinct. benzoini comp., f3ij. 

Petrolati, q. s. ad 5ij- 
Misce. 

Sig. : Spread on surgeon's lint and apply. 
Indication: Used in irritable painful ulcers. 

I£ Chloralis hydratis, 3ss-ij. 

Aquae, f§vj. 
Fiat lotio. 

Sig. : Use as a wash. 
Indication: Used in sluggish ulcers. 

R Argenti nitratis, gr. v. 
Ext. hyoscyami, gr. x. 
Misce et fiant pilulse no. xx. 
Sig. : One before each meal. 
Indication: Used in gastric ulcer. 

Ifc Bismuthi subnitratis, 3vj. 

Pulv. opii, gr. vj. 
Misce et fiant chartulae no. xij. 
Sig. : One powder three times daily. 
Indication: Used for relief of pain in gas- 
tric ulcer. 

Ifc Eserin sulphatis, gr. 1 / i . 

Hydrarg. oxidi flavi, gr. V 8 -j. 

Petrolati, 3j. 
Misce. 

Sig.: Apply to eye. 
Indication : Used in ulceration of the cornea. 

UREMIA. 

B Acidi benzoici, gr. c. 
Fiant chartulae no. v. 

Sig. : One powder every three hours well 
diluted. 

29 



450 Hand-Book of Modern Treatment. 

1$ CafFeinae citratae, gr. xxiv. 

Fiant chartulae no. xij. 

Sig. : One powder every two hours until 
three powders have been taken each day. 

Indication : Used as a diuretic if arterial 
tension is high. 

I£ Pulveris jalapae conip., 3iv. 
Sig.: Teaspoonful once daily. 
Indication: Used as a brisk purge. 

R. Spiritus glycerylis nitratis, gtt. xxiv. 
Aquae camphorae, §iij. 

Misce. 

Sig. : Teaspoonful every three or four hours. 

Indication: Used as a diuretic if arterial 
tension is. high. Hot pack and hot bath are 
valuable adjuncts. 

R, Pilocarpine hydrochloratis, gr. ij. 
Aquae destillatae, 3ij. 

Misce. 

Sig.: Inject five minims for a child of five; 
ten minims for an adult. 

Indication: Used in conjunction with a hot 
pack. In the presence of a weak heart the pilo- 
carpine is dangerous. 

Ifc Spiritus aether is nitrosi, fgj. 
Liq. ammon. acetatis, f§ij. 
Aquae, q. s. ad 3viij. 
Misce. 

Sig. : Tablespoonful in water every two 
hours. 

Indication: Used as a diuretic if the symp- 
toms are not urgent. 

I£ Chloralis hydratis, gr. xx. 
Sodii bromidi, 3j. 

Misce. 

Sig. : Place in three ounces of boiled starch 
and administer by the rectum. 

Indication: Used to relax spasm of uraemic 
convulsions. 



Band-Book of Modern Treatment. 451 

URIC ACID DIATHESIS.— See Gout. 

I£ Lithii benzoatis, 3ij. 

Tinct. belladonnas foliorum, m lxxij. 
Fluidextracti tritici, f§iij. 
Misce. 

Sig. : A teaspoonful every two or three hours 
in irritable bladder, depending on an excess of 
acid, and in uric acid calculi. 

I£ Piperazini, 3iij. 

Pone in capsulas no. xxx. 

Sig. : Dissolve a capsule in water and take 
after each meal. 

Indication: Used to relieve irritability of 
the bladder due to the uric acid diathesis. 

1$, Liq. potassii arsenitis, m v. 

Potassii bicarbonatis, gr. v. 

Ferri et potassii tartratis, gr. v. 

Infusi quassise, f^j. 
Misce. 

Sig. : To be taken in teaspoonful doses three 
times daily after meals. 

Indication: Used in asthenic cases. 



B Lycetali, £j. 

Pone in phialas no. xlviij. 

Sig. : Dissolve the contents of a vial in 
water and take after each meal. 

Indication: Used in subacute and chronic 
eases. 



I£ Lithii carbonatis, 3iiss. 

Sodii iodidi, 3iiss. 

Ext. gentianse, gr. xxiij. 

Pulv. acacias, gr. xxiij. 

Ext. glycyrrhizse, gr. c. 
Misce et fiant pilule no. c. 
Sig. : Preserve in a well-stopped bottle. One 
pill after meals. 

Indication: Used in chronic cases with tophi 
in the joints. 



452 Hand-Book of Modern Treatment. 

IJ Sodii bicarbonatis, 3j. 

Tinct. calumbse, f^j. 

Infusi quassise, q. s. ad f^iij. 
Misce. 
Sig. : A tablespoonful four times daily. 

I£ Aquse bullientis, 3xiiss. 
Sodii chloridi, gr. xv. 
Sodii phosphatis, gr. xxx. 
Sodii sulphatis, 3j. 
Misce. 

Sig. : Inject seventy-five minims morning 
and evening in the skin of the buttock. 

Indication: Used in cases of gastric intol- 
erance where diuretic medication is .requisite. 

URINE, INCONTINENCE, RETENTION, ETC. 

In the physician's office laboratory two of the petty annoy- 
ances that he has to contend with in testing for albumin are 
dirty test-tubes and specimens that need filtration. ■ 

I have found the following plan a simple method of obtain- 
ing a clean test-tube and a clear specimen : Take an ordinary 
cotton tampon on a string, such as is used in gynaecological 
work, push it to the bottom of a test-tube with a stick or glass 
rod, and pack it firmly. Then pour the urine into the test- 
tube and pull out the tampon very slowly by the string. This, 
on account of the atmospheric pressure, causes the urine to pass 
through the tampon and remain in the tube. The tampon car- 
ries out with it any particles that can be removed by filtration, 
and at the same time cleans the inside of the test-tube. If there 
are several specimens to be filtered, the tampon can be rinsed 
under the faucet, and used again. I find by this method my 
test-tubes are always bright and clean inside, and there is none of 
the delay occasioned in using filter-paper. The process can be 
repeated quickly two or three times if the first filtration is not 
satisfactory. In detecting very small traces of albumin, a per- 
fectly clean test-tube is of great importance. 

TESTING FOR TOTAL SOLIDS. 

Multiply the last two figures of the specific gravity of the 
urine by the number of ounces voided in twenty-four hours, and 



Hand-BooJc of Modern Treatment. 453 

add 10 per cent, to the product. Thus, if the amount passed 
in twenty-four hours was thirty-six ounces, and the specific grav- 
ity 1.021, it would be 36 X 21 = 756 + 10 per cent. = 831, the 
number of grains of solids in the whole amount. By comparing 
this with the table it can readily be ascertained if the amount 
is above or below the normal standard for the body-weight of 
any patient. This method is Haines's modification of Bassets. 

B Atropine sulphatis, gr. 1 / 30 . 
Morphinse sulphatis, gr. iss. 
Aquae destillatse, f3j. 
Misce. 

Sig. : Ten minims hypodermically and re- 
peat once if required. 

Indication: Used in retention from spas- 
modic stricture. Patient should be immersed 
in hot bath for half an hour. 

I£ Ext. rhus. arom., £j. 

Syrupi arom., §ij. 

Aquae destillatae, 5vj. 
Misce. 

Sig. : Teaspoonful three times a day. 
Indication: Used in incontinence. 

IJ Sodii benzoatis, gr. xx. 

Sodii salicylatis, gr. xx. 

Fluidextracti belladonnas, gtt. ij. 

Aquse cinnamomi, %\\. 
Misce. 

Sig. : A teaspoonful four or five times daily. 
Indication: Used in incontinence. 

The following has proven beneficial in a number of obstinate 
cases in older children and adults, whether due to lack of mus- 
cular tone of the bladder or paralysis : — 

IJ Fluidextracti ergotae, §j. 

Fluidextracti hydrangeas, §j. 

Fluidextracti triticum repens, §j. 

Fluidextracti belladonnas, m xv. 

Tinct. cantharidis, 3j. 

Olei gaultheriae, 3ss. 

Glycerini, q. s. ad §iv. 
Misce. 

Sig. : A teaspoonful three times a day. 
Indication: Used in incontinence. 



454 Hand-Booh of Modern Treatment. 

1$, Tinct. belladonnse, §j. 

Sig. : Ten drops three times a day and in- 
crease one drop a day till the throat gets dry. 
With it give all the lemonade patient will 
drink (this makes the urine alkaline). 

Indication: Used in incontinence. 

HOW DRUGS AFFECT THE COLOR OF URINE. 

The urine is green after taking saffron or salicylic acid; 
orange from chrysophanic acid and santonin (alkaline carmine) ; 
brown from senna (alkaline blood red) ; smoky brown or black 
from tar, salol, gallic acid, resorcin, nva ursi, and naphthalan; 
reddish from logwood (alkaline violet) or fuchsin; bright yel- 
low from picric acid; blue or greenish-blue from methylene- 
blue or methyl-violet. 

N. B. Gwyn has made a number of experiments to show 
the relative value of different disinfectants for urine. This is 
an important subject, since it is probable that urine, by reason of 
its apparent harmlessness, plays and has played the most im- 
portant part in the spread of typhoid fever. Bacilli are present 
in pure culture in 20 to 30 per cent, of the cases. Their num- 
ber is sometimes enormous; in one case there were 500,000,0*00 
per cubic centimeter. Dr. Gwyn shows that for disinfection 
immediately or within five minutes a given volume of urine re- 
quires one-half its volume 1 to 20 carbolic-acid solution; one- 
fifth its volume 1 to 1000 bichloride solution; three-tenths its 
volume 10-per-cent. formalin solution; one-fortieth its volume 
chlorinated-lime solution ; two-fifths its volume liquid chlorides. 
If a longer time for disinfection is allowed the bichloride be- 
comes proportionately more active. This and the chlorinated 
lime seem the most valuable, all things considered. The forma- 
lin is good, but expensive. 

Ifc Antipyrini, 3ij. 
Alcoholis, fSj. 
Aquae, f§j. 

Misce. 

Sig. : One teaspoonful at bedtime in small 
amount of water. 

Indication: Used in treatment of inconti- 
nence of urine in children. 



Hand-Book of Modern Treatment. 455 

TEST FOR PUS IN URINE. 

The addition of a few drops of peroxide of hydrogen to 
urine containing pus will cause bubbles to rise and froth to ap- 
pear on the surface, similar to its action on pus in other 
localities. This test is characteristic and reliable. 

TO REDUCE THE ALKALINITY OF URINE. 

Attention has been called by E. Hutchinson to the value of 
acid sodium phosphate as an acidifier of urine. According to 
this author it has the greatest acidifying power of any prepar- 
ation employed. It is a valuable agent in the treatment of cys- 
titis, accompanied by the use of urotropin, which produces its 
best results in acid urine. The foregoirjg preparation is readily 
soluble in water, and may be given in doses of from 30 to 60 
grains every three or four hours if necessary. 

THE PROPHYLACTIC AND CURATIVE ACTION OF UROTROPIN. 

Under this caption Dr. Zaudy has published the report of a 
case of paraplegia in which urotropin was remarkably efficacious 
in relieving the bladder complication. It is rare that the oppor- 
tunity is presented of convincing one's self of the effect of 
urotropin by post-mortem examination. 

From the first day until the time of his death (May 11 to 
June 20, 1900), the patient, besides other treatment, was 
given 0.5 gramme (7 1 / 2 grains) of urotropin in tablet form 
three times daily. He took altogether nearly 60 grammes (2 
ounces) of urotropin; and though the amount of nourishment 
which could be administered was but very small, he never ob- 
jected to the tablets. By-effects which could be attributed to 
the drug were never seen; but, of course, it would have been 
difficult to demonstrate them in view of the severe general dis- 
ease and the apathy of the patient. Even in' so short a time as 
eight days after beginning the treatment no more pus was voided 
by the urethra, and catheterization could be effected more 
easily. 

The post-mortem notes included the observation : — 

"Diagnosis as to the urinary organs : Urocystitis without 
serious lesions; punctiform haemorrhages in the pelvis of the 
kidney, but no other signs of pyelonephritis. 



456 Hand-Book of Modern Treatment. 

"These post-mortem findings speak for themselves, and re- 
quire no further elucidation. They show more plainly than any 
clinical symptoms that the dangers which threatened the urin- 
ary passages from various sides were entirely warded off, prac- 
tically until the very end. It is the universal experience that 
patients suffering from paralysis and anaesthesia of the lower 
half of the body mostly succumb to the severe cystitis and 
rapidly-consecutive pyelitis. The kidneys are usually severely 
affected. That this was not the case here, that the post-mortem 
revealed that the urinary apparatus was not to any great degree 
involved, must necessarily be attributed to the action of the 
urotropin." 

The proper kind of milk must be prescribed for young in- 
fants, and older children should be forbidden to eat meat. To 
relieve the itching the following is recommended: — 

I£ Liq. carbonatis detergens, gr. lxxv. 
Zinci oxidi, 3v. 
Amyli, 3v. 
Glycerini, gj. 
Aquse destillatse, Siiiss. 
Misce. 

Sig. : Apply to the itching surface with a 
brush three times a day. A warm bath should 
be given twice weekly. 

The following as an internal antiseptic: — 

IJ Menthol is, gr. xv. 

Olei amygdalae dulcis, gr. iv. 
Misce et fiant capsular no xxx ( gelatin ) . 
Sig. : One capsule three times a day. 

Brewer's yeast, a teaspoonful in milk once or twice daily, 
may be substituted. 

In prurigo of infants the skin should be kept clean and the 
diet and digestion regulated. Internally intestinal antiseptics, 
iodine, and codliver-oil or dilute sulphuric acid. 

Sponge the parts affected with a 2-per-cent. solution of hux- 
sal (antiseptic salt) or apply as compresses to allay itching. 
Allow the body to dry and then apply some friction. 



Hand-Bool: of Modern Treatment. 457 

B Pulv. calaniin, 3ij. 
Liq. calcis, S^iij. 
Phenolis, 3ss. 

Misce. 

Sig. : Use as a lotion, and if not sufficient 
to allay irritation and the burning is extreme, 
the following ointment is advised: — 

I£ Afentholis, gr. x. 

Adipis lanae hydrosi, %]. 
Misce. 
Sig. : Apply locally. 

B Mentholis, 3j. 

Spiritus vini rect., %]. 
Betul-ol ( oleo-methyl-salicy. comp. ) , 3iv. 
Misce et fiat applic. 
Sig. : For external use only. 
Indication: Used in urticaria of arms and 
chest. 

Phosphate of soda in supersaturated solution and in drachm 
doses. Locally : — 

B Pulv. calamin., 3iss. 

Zinci oxidi, 3iss. 

Acidi earbolici, 3ss. 

Aquae calcis, 3ij. 

Aquae rosae, §iv. 
Misee. 
Sig. : Apply frequently and freely. 

IJ Hydrarg. chloridi corrosivi, gr. ij. 

Chloroformi, m xx. 

Glycerini, §ij. 

Aquae rosae, §vj. 
Misce. 
Sig. : Poison. Apply locally twice daily. 

Ichthyol in from 1- to 2-grain doses to children, and 5- to 
6-grain closes to adults, relieves and cures. At the same time an 
ointment should be applied to the affected parts, or even all over 
the body. The strength of the ointment should be about 2 
drachms of ichthyol to an ounce of petrolatum in children, and 
1 / 2 ounce of ichthyol to 1 ounce of petrolatum for adults. 



458 Hand-Book of Modern Treatment. 

IJ Phenazoni, 3j. 
Fiant chartulae no. xij. 
Sig. : One powder before meals. 
Indication: Used in lithaemic subjects and 
also in intestinal fermentation. 

Ifc Sodii biboratis, gss. 

Aquae destillatae, f^viij. 
Misce. 

Sig. : Use locally. 

Indication: Used also in chloasma or liver 
spots. 

IJ Acidi benzoici, gr. viij. 

Aquae, f§iv. 
Misce. 
Sig. : Apply locally as a wash. 

IJ Salopheni, 3j. 
Fiant chartulae no. xij. 
Sig. : One powder before meals. 
Indication: Used in lithaemic subjects and 
also in intestinal fermentation. 

Ifc Sodii bicarbonatis, §ij. 
Sig. : A tablespoonf ul in a cup of water and 
apply freely with a sponge. 

Indication: Used to allay pruritus. 

I£ Liq. potassii arsenitis, f£j. 

Sig. : One to two drops in water after meals. 

Indication: Used in cases in which the at- 
tacks continue to recur. To be employed for 
a long period. 



VAGINISMUS. 

B Stront. bromidi, 3i%. 

Potassii bromidi, 3i%. 

Ammon. bromidi, 3i%. 

Aquae destillatae, q. s. ad Sviij. 
Misce. 
Sig.: Tablespoonf ul twice a day. 



Eand-Book of Modern Treatment. 459 



IJ Zinci valerianate, gr. 5 / 6 . 

Quininse valerianate gr. iss. 

Extracti opii, gr. 1 / 6 . 

Extracti belladonnas, gr. V 6 . 
Misce et fiat pilula no. j. 
Sig. : Three to six pills daily. 

IJ Ext. kramerise, gr. iss. 

Morphine hydrochloratis, gr. 1 / 3 . 

Olei theobromat., 3j. 
Misce et fiat suppositorium no j. 
Sig.: Insert in vagina at night. 

IJ Cocaine hydrochloratis, gr, ij. 

Ext. belladonnae, gr. iss. 

Strontii bromidi, gr. iv. 

Olei theobromat., Zi%. 
Misce et fiat suppositorium no. j. 
Sig. : Insert in vagina at night. 

IJ Morphinse hydrochloratis, gr. j. 

Olei theobromat., 3iiiss. 
Misce et fiant suppositoria no. iij. 
Sig. : Insert one in vagina when required. 
Indication: Used in vaginismus. 



VAGINITIS. 

IJ Acetanilidi, gr. xv. 

Acidi tannici, gr. viiss. 

Ext. hydrastis Canadensis, gr. iv. 

Sacch. lactis, 3iiss. 

Olei theobromat., q. s. 
Misce et fiat suppositorium no. j. 
Sig. : One to be inserted every other day. 

IJ Resorcini, gr. Ixxx. 

Acidi salicylici, gr. viij. 

Betanaphtholis, gr. j. 

Aquas, q. s. ad §viij. 
Misce. 

Sig. : Add one tablespoonful to a quart 01 
warm water and use as a douche. 



460 Eand-Book of Modern Treatment. 

I£ Salolis, gr. xlv-3ij. 
Glycerini, gviij. 

Misce. 

Sig. : To be applied locally on a tampon 
every second day. 

IJ Pulv. aluminis, %]. 

Zinci sulphitis, §j. 

Sodii biboratis, Sj. 

Acidi carbolici, Sj. 

Aquse, §vj. 
Misce. 

Sig.: A teaspoonful to a quart of lukewarm 
water, as a vaginal douche, twice daily. 

In most cases of vaginismus, if the surgeon looks carefully, 
he will find some lesion of the mucous membrane which seems 
to bear a causative relation to the existence of the trouble It 
is either red and erythematous or there are little fissures or tears, 
or protruding spots made by inflamed papillae. Forced dilata- 
tion of the vagina, with local treatment for the lesions, will give 
the best results. 

For gonorrhceal vaginitis, John Cooke Hirst advises the 
occasional use of silver nitrate, 10 or 20 grains to the fluidounce, 
filling a cylindrical speculum with the solution and gradually 
withdrawing the instrument; also douches of mercuric chloride 
1 to 4000. 

1$ Glyceriti acidi tannici, §j. 
Sig. : Apply locally or diluted as an injec- 
tion. 

Indication: In chronic vaginitis of children. 

Ifc Argenti nitratis, gr. xl. 
Aquse destillatse, f^j. 

Misce. 

Sig.: Apply on a cotton pledget within the 
cervical canal and over the vaginal mucous 
membrane. 

I£ Potassii permanganatis, §v. 
Sig.: Half a teaspoonful in two quarts of 
water; as vaginal douche night and morning. 
Indication: Used in gonorrhceal vaginitis. 



Hand-BooJc of Modern Treatment. 461 



I£ Hydrastinae, gr. vj. 
Boroglycerini, 3iij. 
Misce et fiant suppositoria no. vj. 
Sig. : Insert a suppository after hot douche 
twice or thrice daily. 



I£ Phenol is, gr. xv. 

Bismuthi subnitratis, 3iss. 

Glycerini, 3vi 2 / 3 . 

Aquae, q. s. ad Oij. 
Misce. 

Sig. : Inject a small quantity after irrigat- 
ing the vagina with boric acid solution. 



VAGINAL DOUCHES. 

Powdered borax, 1 drachm to the quart of water, is a mild 
cleansing douche; zinc sulphate, 2 drachms to the quart, is as- 
tringent and disinfectant; alum, 1 drachm to the quart, is an 
efficient astringent; mercuric chloride, 1 to 3000 to 1 to 5000, 
is commonly employed. Tannic acid, potassium permanganate, 
and fluid extract of hydrastis all stain the clothing and are sel- 
dom prescribed. 



VALVULAR DISEASE.— See Heart Disease. 



VARICELLA. 

IJ Spiritus aetheris nitrosi, 3iv. 

Potassii citratis, 3ij. 

Syrupi limonis, f3v. 

Aquse, q. s. ad Siij- 
Misce. 
Sig. : Teaspoonf ul in water every two hours. 



Ifc Sodii bicarbonatis, %v. 

Sig. : Tablespoonf ul in a pint of water as 
a local application. 

Indication: Used as a wash to relieve itch- 
ing. 



462 Hand-Book of Modern Treatment. 



VARICOSE VEINS. 

IJ Liq. plumbi subacetatis, f3iv. 

Aquae, q. s. ad fSviij. 
Misce. 
Sig. : Apply on cotton saturated with lotion. 

1$. Fluidextracti hamamelidis, f^iij. 
Sig. : A teaspoonful three or four times 
daily with compresses applied externally. 

IJ Barii chloridi, gr. xxx. 

Aquae destillatae, q. s. ut ft. sol. 

Adipis lanae hydrosi, gr. ccxxv. 

Olei amygdalae dulcis, m lxxv. 
Misce et fiat unguentum. 

Sig. : Use three times daily, with friction 
where blue veins shine through the skin. 



VARIOLA.— See Small-pox. 



VERTIGO, 

1$ Tinct. physostigmatis, 3ij. 
Tinct. nucis vomicae, 3ij. 
Tinct. belladonnae foliorum, 3ij. 
Misce. 

Sig. : Thirty drops in water morning and 
evening. 

Indication: Used to relieve headache that 
occurs at the change of life. 

IJ Pulv. serpentariae, gr. iiss. 
Pulv. camphorae, gr. 1 / 4 . 
Asafoetidae, gr. 1 / 4 . 
Extracti opii, gr. 1 / 40 . 
Misce et fiat capsula no. j. 
Sig.: From three to six pills, to be taken at 
intervals during the twenty-four hours. 

Indication: Used in vertigo following gas- 
tritis. 



Eand-Book of Modern Treatment. 403 

IJ Potassii bromidi, 3iv. 

Syrupi aurantii corticis, 3iv. 

Aquae, q. s. ad giij. 
Misce. 

Sig. : Teaspoonful three times a day. 
Indication: Used in aural vertigo, and also 
in vertigo from insomnia and overwork. 



I£ Spiritus glycerylis nitratis, 3j. 

Sig.: One drop in water three times a day, 
to be gradually increased until temporal head- 
ache. 

Indication: Used in aural vertigo. 



IJ Sodii bromidi, 3ij. 

Antipyrini, 3j. 
Misce et fiant tabellse compressse no. xij. 
Sig. : One tablet three times a day. 
Indication: Used in aural vertigo. 



Quinine will be more effectual when it is combined with 
strychnine, blue mass, and capsicum than when given alone. 
The usual formula employed is : — 

Ifc Quininse sulphatis, 3iiss. 

Pil. hydrarg., gr. iv. 

Pulv. capsici, gr. ij. 

Strychninse sulphatis, gr. j. 
Misce et fiant capsulse no. xxxvj. 
Sig. : One capsule four or five times a day. 
Indication: Used in malarial vertigo. 



After the attacks have subsided smaller doses of quinine are 
to be administered in connection with strychnine and iron, in- 
terspersed occasionally with a dose of blue mass or calomel, the 
aim now being to enhance the digestive powers and to maintain 
the strength of the body. Any fresh manifestation of vertigo is 
to be counteracted with the larger doses of quinine and its com- 
bination given in the above formula. 



464 Hand-Book of Modern Treatment. 

IJ Tinct. gelsemii, f^j. 

Sig. : Ten minims three times daily. 

Indication: Used in aural vertigo. 

I£ Pulv. jalaps, gr. xij. 

Hydrarg. chloridi mitis, gr. iij. » 

Potassii sulphatis, gr. vij. 
Misce et liat chartula no. j. 
Sig. : To be taken at bedtime. 
Indication: Used in bilious vertigo. 

The special treatment should be directed to the different 
causes of vertigo, when they can be traced to affections of which 
vertigo is but one of the symptoms, such as syphilis, malarial 
fever, gout, gastric affections, etc. 

As regards general treatment, potassium iodide, 10 to 20 
grains a day for months, with periods of rest, during which 
quinine is administered. However, the quinine should be given 
only when other methods fail, as it affects the hearing and leads, 
if prolonged, to absolute deafness. About six or eight 2-grain 
pills should be given daily for one week and then suspended for 
one week, after which the drug should be resumed for eight days, 
when a notable improvement takes place. Treatment should be 
continued in this manner until a cure is effected. Vertigo due to 
arteriosclerosis should be treated with small doses of potassium 
iodide as follows : — 

I£ Potassii iodidi, 3j. 

Aquae, Sx. 
Misce. 

Sig. : Two tablespoonfuls daily for three 
weeks in the month. 

At the same time 3 drops of a solution of nitroglycerine — 
1 to 100 — might be given morning and evening, and a milk diet 
be prescribed for eight days every month, while laxatives should 
be given frequently. If tachycardia be present, one or two of the 
following pills should be ordered daily : — 

IJ. Ext. convallarise, gr. ij. 
Sparteine sulph., gr. j. 
Misce et fiat pilula no. j. 
Sig.: One such daily. 



Hand-Book of Modern Treatment. 455 

The insomnia is best treated with trional and oedema of the 
limbs by theobromine, 10 grains four times a day. If in spite 
of this treatment the oedema persists and increases, digitalis 
should be given and a milk diet instituted. A purgative of 
jalap and scammony should be prescribed once a week. 



VOMITING. 

I£ Mentholis, gr. v. 

Tinct. opii, 3iiss. 

Liq. pepsinse, %]. 
Misce. 

Sig. : Ten to twenty drops before each meal. 
Indication: Used in vomiting of uterine 
origin. 

IJ, Mentholis, gr. j. 

Sodii bicarb., 3iss. 
Misce et fiant capsular no. x. 
Sig. : One capsule three times a day. 
Indication: Nervous vomiting without any 
anatomical reason. 



Pernicious vomiting may be relieved by the hypodermic ad- 
ministration, in epigastric region, of 1 / 6 grain of cocaine hydro- 
chlorate. This was successful in five cases after administration 
by mouth had failed. 

Chloral dissolved in peppermint-water will promptly check 
vomiting in children. The dose varies from 1 / 2 to 2 grains, 
according to age. 

The following mixture is valuable in the vomiting of preg- 
nancy, and also in various cases of gastritis ; — 

R. Mentholis, gr. iss. 

Tinct. opii, m xv. 

Tinct. belladonna?, m xv. 

Tinct. hyoscyami, m xv. 

Alcoholis, 57 3 . 
Misce. 

Sig. : Five drops in a little water every hour. 

30 



466 Hand-Book of Modern Treatment. 

REFLEX VOMITING. 

This type of emesis is often apparently causeless, with 
prominent symptoms referable to other organs. The tongue is 
usually clear. By way of general remedies may be mentioned 
bromides and chloral, cerium oxalate, quinine, acids, and min- 
ute doses of ipecac. For persistent cases William F. Mitchell 
recommends the application to the epigastrium of ice-cold com- 
presses changed every minute. For such obstinate cases Thorn- 
ton employs a mustard poultice over the abdomen, and gives a 
rectal injection of 20 grains of chloral hydrate and 1 drachm 
of potassium bromide in starch-water. In hepatic attacks it is 
well to wash out the stomach freely with warm water. 

I£ Phenolis, gr. v. 

Syrupi acacise, fgiss. 

Aquae cinnamomi, f^iss. 
Misce. 

Sig. : One teaspoonful before meals. 
Indication: Irritable vomiting. 

The following formula will be found useful for the relief of 
vomiting, even in the vomiting of pregnancy. 

IJ Cocainse hydrochloratis, gr. iij. 

Hydrarg. chlor. mitis, gr. j. 

Cerium oxalate, gr. xxx. 

Pepsini, aseptic ( P. D. ) , gr. v. 

Bismuthi subnitratis, gr. xxx. 
Misce et fiant chartulae no. x. 
Sig. : One pro re nata. 

B Vini ipecacuanhae, f^j. 

Sig. : One drop every hour to thrice daily. 

Indication: Suitable in all cases. 

1$. Sodii bicarbonatis, gr. xv. 

Acidi hydrocyanici diluti, m iss. 

Aquae camphorse, f3x. 
Misce. 

Sig.: To be taken three times daily after 
meals. 

Indication: When due to acidity. 



Hand-Book of Modern Treatment. 4(37 

I£ Phenolis, gr. iv. 

Bismuthi subnitratis, 3ij. 
Mucilaginis acacias, fgj. 
Aquae menthae pip., f^iij. 
Misce. 

Sig. : A tablespoonful every two, three, or 
four hours. 

Indication: Used when due to acute gastric 
and intestinal disorders. 

I£ Bismuthi subnitratis, 3ij. 

Acidi hydrocyanici diluti, f3ss. 

Mucilaginis acaciae, f£ij. 

Aquae menthae pip., f Bij- 
Misce. 

Sig. : A tablespoonful thrice daily. 
Indication: Used with gastric ulcer. 

IJ Tinct. aconiti, gtt. xxx. 

Bismuthi subnitratis, 3iij. 
Misce et fiant chartulae no. x. 
Sig. : One powder every half -hour. 
Indication: Used in vomiting due to ex- 
citability of gastric mucous membrane. 

IJ Tinct. nucis vomicae, m ij. 

Aquae laurocerasi, f3j. 
Misce. 

Sig. : Ten drops night and morning. 
Indication: Used in pregnancy. 

IJ Liq. potassii arsenitis, f3ij. 

Sig. : One drop in water three times daily. 

Indication: Used in vomiting of pregnancy, 
ulcers of stomach, or morning vomiting of 
drunkards. 

IJ Mentholis. gr. ij. 

Cocainae hydrochloride gr. iij. 

Syrupi simplicis, §j. 

Spiritus vini rect., §ij. 
Misce. 

Sig. : Teaspoonful every hour. 
Indication: In sea-sick vomiting. 



468 Hand-Book of Modern Treatment. 

IJ Orexini, gr. xxx. 

Fiant chartulse no. xv. 

Sig. : One powder three times daily. 

Indication: Used in vomiting of pregnancy. 

I£ Bismuthi salicylatis, 3j. 

Cerii oxalatis, 3j. 

Mentholis, gr. x. 

Cocaine muriatis, gr. iij. 

Spiritus vini rect., 3j. 

Elixiris aurantii, q. s. ad §vj. 
Misce. 

Sig. : Teaspoonful every three to four hours. 
Indication: Used in the vomiting of preg- 
nancy. 

Monin has been struck by the resemblance which the symp- 
toms presented by certain pregnant women bear to those of hy- 
persecretion. Gastric pain, heart-burn, acidity, nausea, and vom- 
iting, occurring especially in the morning and relieved by taking 
food, are all symptoms commonly observed both in hypersecretion 
and during pregnancy. Monin believes that in both conditions 
the stomach, instead of excreting only at the digestive periods, 
does so more or less continuously, although Kaltenbach and Jafre 
state in the pregnant cases no excess of hydrochloric acid is 
present in the gastric juice as in hypersecretion. Satisfactory 
results have been obtained in the case of pregnant women by 
administering daily five doses of sodium bicarbonate, each con- 
sisting of 2 grammes given in a capsule. 

I£ Chloralis, gr. xx. 
Potassii bromidi, 3j. 
Mucilaginis amyli, f§iv. 
Misce. 

Sig. : Warm gently and use as a rectal in- 
jection after first using enema to unload the 
bowel. 

Indication: Used in obstinate reflex vomit- 
ing. Mustard poultices over abdomen. 

I£ Liq. calcis, f^iv. 

Sig.: A tablespoonful every two hours. 

Indication: Used in vomiting with acidity. 



Band-Book of Modern Treatment. 469 

IJ Phenolis or creosoti (beechwood), gtt. x 
or xx. 
Bismuthi subnitratis, Siij. 
Misce et fiant chartulse no. iij. 
Sig. : One powder every hour. 
Indication: Used in vomiting due to active 
fermentation. 

For the vomiting of pregnancy and bilious vomiting the 
following are given: — 

]> Acidi carbolici, gr. i-iv. 
Chlorof ormi, m v. 
Syrupi, 3xxx. 
Aquse destillatse, 3xxx. 
Misce. 

Sig. : A dessertspoonful every two hours. 
Some spoonfuls of water should then be admin- 
istered from time to time. 



VULVITIS. 

1$ Aluminis, Zj. 

Aquse, Oij. 
Sig.: Apply locally. 
Indication: Used in vulvitis of children. 

IJ Liq. plumbi subacetatis, f^j. 
Tinct. opii, f§j. 
Aquse, Oij. 
Misce. 

Sig.: Add a quart of water and apply 
freely on absorbent cotton saturated with the 
lotion. 

Indication: Used to allay inflammation and 
reduce oedema. 



WAKEFULNESS.— See Insomnia. 

B Sulphonalis, 3j. 
Fiant chartulse no. vj. 

Sig.: One in cup of hot water and repeat 
if necessary. 

Indication: Used in insomnia of drunkards. 



470 Hand-Book of Modern Treatment. 

IJ Tinct. hyoscyami, fgij. 

Sig. : One teaspoonful. 

Indication : Where opium is not borne. 

IJ Trionalis, 3j. 

Fiant chartulse no. iij. 

Sig. : One powder in hot milk. 

IJ Potassii bromidi, 3iv. 
Chloralis hydratis, 3ij. 
Syrupi pruni virginianae, f£j. 
Aquae, q. s. ad f§iij. 
Misce. 

Sig. : A dessertspoonful in a wineglassful of 
water at bedtime. 

Indication: Used in insomnia due to mental 
overwork, anxiety, or physical fatigue. 

IJ Morphinae sulphatis, gr. ij or iv. 

Chloralis hydratis, 3ij. 

Syrupi, fgij. 

Aquae, q. s. ad f^iv. 
Misce. 

Sig.: A dessertspoonful at night. 
Indication: Used when dangerously large 
doses of either are required to produce results. 

IJ Hypnal, m xv. 
Alcoholis, m xj. 
Syrupi, fgiss. 
Misce. 

Sig. : One dose to be followed by one-third 
of a tumbler of water. 

Indication: Used when insomnia is due to 
pain. 

IJ Paraldehyde f§ss. 
Olei gaultheriae, m xv. 
Pulv. acacias, 3ij. 
Syrupi pruni virginianae, q. s. ad f§iv. 

Misce. 

Sig.: A half to a tablespoonful in water 
every hour or two. 

Indication: Used in insomnia due to psych- 
ical disturbances. 



Eand-Book of Modern Treatment. 471 



IJ Chloralis hydratis, 3iij. 

Syrupi, f3iv. 

Aquae cinnamomi, q. s. ad fSiij. 
Mi see. 
Sig. : Dessertspoonful at night. 



WARTS.— See Condylomata. 

IJ Resorcini, gr. xv. 
Liq. petrolati, §j. 
Mi see et fiat unguentum. 

Sig.: To be applied locally after thoroughly 
cleansing the parts. 

The following combination is quoted as being a very val- 
uable caustic : — 

IJ Plumbi oxidi, gr. ij. 
Potassii hydratis, gr. xx. 
Aquae, q. s. ad 3j. 
Misce. 

Sig.: Shake well and apply, by means of a 
brush, to the lesion. One or two applications 
are sufficient. 

Indication: Venereal warts. 

IJ Acidi salicylici, 3ij. 

Ext. cannabis indicse, gr. xv. 
Adipis benzoinati, q. s. ad §j. 
Misce. 

Sig. : Apply freely for several days ; should 
be covered with absorbent cotton and collodion. 

For a corona of small warts just back of the glans penis, 
and traced to the irritative action of the vaginal secretions on 
a surface weakened by too much venery, use the following dust- 
ing powder, and insist upon continence for at least three 
months : 

IJ Hydrargyri chloridi mitis, 3ss. 

Acidi tannici, gr. xx. 

Bismuthi subnitratis, 3ss. 
Misce. 
Indication: Used on venereal warts. 



472 Hand-Booh of Modem Treatment. 

Ifc Acidi salicylici, gr. xxx. 

Resorcini, gr. xxx. 

Collodion flexile, 3iv. 
Misce. 

Sig. : Paint on the warts every night for a 
week. 

Apply Fowler's solution of arsenic to the warts five or six 
times daily (or oftener) ; this is painless, and, in addition, to 
make assurance doubly sure, particularly for very large warts, 
or where they are in great numbers, give from 5 to 8 (or even 
10) minims of the drug internally, in a little water, three times 
daily. 

The internal or external use of Fowler's solution alone will 
remove them, but takes longer than when used both internally 
and locally. 

It is easy to dispose of the smaller varieties by caustic or 
the electrically excited needle, but annoying scars sometimes 
result which worry a sensitive patient more than the original 
blemish. Painting lightly with glacial acetic acid will cause 
the disappearance of all such blemishes. The application 
should be made twice each day. taking precaution that none of 
the fluid runs upon the sound skin, and suspending the paint- 
ing for two or three days whenever there is a sense of soreness 
felt, and again resuming as soon as the soreness disappears. If 
the application is properly made, the blemish will be banished 
and no scar remain. 

Warts can be removed by the persistent application of 
castor-oil. The oil probably softens the growth. 

I£ Formaldehydi (40 per cent, sol.), f£ss. 
Sig.: Apply locally with small brush twice 
daily. 

Indication: Common condylomata. 

1^ Hydrarg. chloridi mitis, 3vj. 

Acidi ooracici, 3iij. 

Acidi salicylici, 3j. 
Misce. 

Sig. : Dust over the vegetations. 
Indication: Used on venereal condylomata. 



Hand-Book of Modern Treatment. 473 

IJ Olei terebinthinae, fgj. 
Sig. : Paint vegetation well with brush 
daily. 

WHITLOW.— See Onychia. 
WHOOPING COUGH. 

IJ Acidi nitrici dil., %]. 

Tinct. cardamomi comp., 3iij. 

Syrupi simplicis, giiiss. 

Aquae, 5j. 
Misce. 

Sig. : One small teaspoonful every two 
hours. 

The foregoing is especially recommended as a prophylactic 
measure in infants who have been exposed to the disease. 

B Bromoformi, m ij. 

Chloretoni, gr. iss. 

Tinct. aurantii, m x. 

Mucilaginis acaciae, mxx. 

Aquae, q. s. ad 3j. 
Misce. 

Sig. : At one dose. 
Indication: To prevent vomiting of pertus- 



1$, Chloralis hydratis, gr. xv-xlv. 
Potassii bromidi, gr. lxxv. 
Syrupi aurantii, 3iij. 
Aquae destillatae, 3ij- 
Misce et fiat mistura. 

Sig. : One small teaspoonful every two 
hours. The dose must be varied according to 
the age of the patient. 

Ifc Ext. belladonnas, gr. 1 / 48 . 
Pulv. aluminis, gr. ss. 
Syrupi zingiberis, £3ss. 
Aquae, f3ss. 
Misce. 

Sig. : One teaspoonful every two hours for 
a child one year old. 

Indication: Useful as an anti-spasmodic 
mixture when expectoration is profuse. 



474 Hand-Book of Modern Treatment. 

I£ Ext. cannabis Indicas, gr. xij. 
Ext. belladonnas, gr. vj. 
Spiritus vini rectif., Siss. 
Glycerini, 3iss. 
Aquae, q. s. ad Biij- 
Misce et fiat mistura. 

Sig. : One-half teaspoonful to two teaspoon- 
fuls for a dose, according to the age, night and 
morning. (Not to be given to children under 
eight months old.) 

I£ Tinct. opii camphoratas, f3j. 

Syrupi ipecacuanhas, f3j. 

Syrupi scillas, f3iij. 

Syrupi tolutani, fgss. 

Liq. potassii citratis, q. s. ad fSiij. 
Misce. 

Sig. : Teaspoonful every two or three hours 
for a child one year old. 

Indication: Useful during catarrhal stage 
as a simple expectorant. 

1$. Bromoformi, m xvj. 
Alcoholis, f3ij. 
Glycerini, f3xij. 
Tinct. cardamomi comp., q. s. ad f^ij. 
Misce. 

Sig.: Teaspoonful in water three times 
daily. 

Indication: Used for relief of spasmodic 
cough. 

I£ Codeines sulphatis, gr. %. 

Tinct. belladonnas, m vj. 

Spiritus chloroformi, m x. 

Syrupi pruni virginianas, q. s. ad 3j. 
Misce. 

Sig.: One dose at night. 
Indication: Useful as a sedative. 

I£ Potassii bromidi, 3j. 

Ess. pepsini (Fairchild's) , 3iv. 

Tinct. belladonnas, gr. vj. 

Aquas, q. s. ad Biij- 
Misce. 
Sig. : One teaspoonful every three hours. 



Hand-Book of Modern Treatment. 475 



Ifc Sodii bromidi, gr. 1. 

Antipyrini, gr. xv. 

Glyeerini, f3iij. 

Aquae cinnamomi, q. s. ad fSiij. 
Misce. 

Sig. : A teaspoonful every two hours for a 
one-year-old child. 



SPECIFIC FOR PERTUSSIS. 

Dr. Asa Jones claims for Jamaica dogwood — dose, 3 drops 
in a teaspoonful of water, every three or four hours — a specific 
for whooping-cough, as much as quinine for chills. 

I£ Bromoformi, m xlviij. 

Alcoholis, Siiss. 

Aquae laurocerasi, 3j. 

Aquae destillatae, giv. 
Misce. 
Sig.: One teaspoonful four times daily. 

1$ Bromoformi, m xlviij. 

Olei amygdalae dulcis, ^ss. 

Pulv. acaciae, Sss. 

Aquas laurocerasi, 3j. 

Aquae destillatae, q. s. ad 5iv. 
Misce. 

Sig. : One teaspoonful three or four times 
daily. 

When administering bromoform the effects must be care- 
fully watched on account of its tendency in some cases to pro- 
duce depressing effects. 

I£ Resorcinolis, gr. xv. 
Antipyrinae, gr. xv. 
Syrupi simplicis, f§j. 
Syrupi acaciae, fgiiiss. 
Misce. 

Sig. : Three to five dessertspoonfuls each 
day. 

Indication : During paroxysmal stages to de- 
crease duration and frequency of spasms. 



476 Hand-Booh of Modern Treatment. 

IJ Terpini hydratis, gr. xv. 
Antipyrini, gr. xv. 
Syrupi aurantii cort., fgij. 
Mucilaginis acaciae, fgij. 
Misce. 

Sig. : One or two ounces in divided doses 
several times daily. 

Indication: Used to decrease severity of the 
convulsive attacks. 



IJ Antipyrini, gr. ij. 
Sacchari albi, gr. xx. 

Misce et fiant chartulae no. xiv. 

Sig. : One powder three times during the day 
and once during the night for very young chil- 
dren. Dose increased up to fifteen grains for 
adults. 

IJ Aquae hydrogenii dioxidi, 3ij. 
Syrupi tolutani, Siss. 
Aquae, '§ss. 
Misce. 

Sig.: From ten drops to one teaspoonful, 
according to age. One dose each hour for two 
or three doses, then every two hours for six or 
eight doses, getting farther between doses as 
patient improves. 

1$, Creosoti (beech wood), 3iij. 

Eucalypti, 3ij. 

Spiritus chloroformi, 3vj. 

Terebeni, q. s. ad Siij. 
Misce. 

Sig. : For inhalation. Fifteen drops on a 
sponge wrung out of hot water. 

IJ Antipyrini, gr. ss-j. 

Ammonii chloridi, gr. iiss-v. 

Syrupi limonis, 3ss. 

Aquae, q. s. ad 3j. 
Misce. 

Sig. : From one-half to one teaspoonful every 
three hours. 



Hand-Book of Modern Treatment. 477 

I£ Mentholis, gr. j. 
Sacchari, gr. xxj. 

Misce et fiant chartulae no. vj. 

Sig. : One powder every two hours. 

Indication: Used in vomiting of pertussis. 

I£ Fluidextracti castanese, 3j. 

Fluidextracti belladonna^ gtt. iv. 

Fluidextracti hyoscyami, m x to 3j, ac- 
cording to age. 

Syrupi simplicis, q. s. ad Siv. 
Any desirable flavoring may be added. 
Sig.: One drachm every two hours. 



Children take it readily, as it is not unpleasant. The same 
size doses should be given at any age over 2 years, and 15 to 20 
minims every two hours is sufficient. 

I£ Tinct. stramonii sem., 3ij. 
Am. bromidi, 3ij. 
Elixiris simplicis, q. s. ad 5ij- 
Misce. 

Sig. : One teaspoonful to a child of five years 
in water every two or three hours as may be 
necessary to quiet the cough. 



The after-treatment should consist in giving ammonium 
carbonate, 2 1 / 2 grams every three or four hours, as an expecto- 
rant, administered in a little whisky and milk. The foregoing 
prescription should be given sufficiently often to control the 
cough. 

IJ Pulv. belladonnas rad., gr. iss. 

Quininse sulphatis, gr. viij. 

Sacchari albi, 3ss. 
Misce et fiant chartulse no. x. 
Sig. : One powder three times a day. 

As a spray the following may be used for children over 6 
years of age: — 



478 Hand-Booh of Modern Treatment. 

IJ Cocainae hydrochloride gr. x. 

Potassii chloratis, gr. iij. 

Aquae grad., giss. 
Misce. 

Sig. : To be sprayed into the throat twice a 
day. 

As an insufflation, introducing it into the larynx by means 
of a glass tube curved at one end, the following is of value as 
an antiseptic and germicide: — 

B> Pulv. benzoini, gr. lxxv. 

Bismuthi subsalicylatis, gr. lxxv. 
Quininae sulphatis, gr. xv. 
Misce et fiat pulvis. 

Sig. : A few grains to be used as an insuffla- 
tion into the larynx once daily. 

IJ Acidi carbolici, gr. xv. 
Spiritus vini rectif., m xv. 
Tinct. iodi, m x. 
Tinct. belladonnas, m xxx. 
Syrupi simplicis, q. s. ad gij. 
Misce et fiat mistura. 

Sig. : One teaspoonful every tAVO hours, be- 
tween one and two years of age; half the 
quantity diluted with water for infants under 
one year of age. 

R Quininae hydrochloride gr. xxx. 
Sodii bicarbonatis, gr. xx. 
Pulv. acacias, 3iij. 
Misce et fiat pulvis. 

Sig. : A few grains to be insufflated into 
the throat two or three times a day. 

As a liniment to the chest the following combination is 
recommended : — 

1$. Olei eucalypti, §ij. 

Linimenti camphorae, §ij. 

Olei cajuputi, Sss. 

Olei menth. pip., 3ij. 
Misce et fiat linimentum. 
Sig. : To be applied locally to the chest. 



Hand-BooJc of Modern Treatment 479 



WORMS. 

IJ Santonini, gr. i-ij. 

Hydrarg. chloridi mitis, gr. i-iij. 

Pulv. aromatici, gr. iv. 
Misce et fiant chartulse no. iv. 
Sig. : One at bedtime to be followed by cas- 
tor oil in the morning. 

Indication: Used for round worms. 

Ifc Pelletierina tannatis, gr. ij. 
Syrupi acacise, f3iv. 
Aquse, q. S. ad fgj. 

Misce. 

Sig. : Given in two doses at intervals of half 
an hour, and followed in an hour by a brisk 
purge. 

Indication: Used in tapeworms in children 
of one to six years old; children under two 
should not be given pelletierine. 

P* Oleoresinse aspidii, m xlv. 
Tinct. vanillse, m xlv. 
Pulv. acacise, 3ss. 
Aquse destillatse, f^j. 
Misce. 

Sig. : Take the entire amount after fasting, 
and follow in two hours by a full dose of mag- 
nesium sulphate. 

Indication: Used for tapeworm. 

P* Olei chenopodii, f3j. 

Sig. : Five to ten minims on sugar night 
and morning. Follow last dose with calomel. 

Indication: Used to remove round worms in 
child two to four years old. 

P* Acidi salicylici, 3ss. 
Sodii borat., 3ss. 
Aqu», Oj. 
Misce. 

Sig. : Warm and inject into the bowels. 
For a child reduce this one-half in all its parts. 
Indication: Used in round worms. 



480 Hand-BooJc of Modern Treatment. 

IJ Muidextracti spigelian, 3ij. 
Fluidextracti sennae, 3ij. 
Glycerini, 3ij. 
Misce. 

Sig. : A teaspoonful night and morning. 
Indication: Used to remove round worms in 
a child four or five years old. 

I£ Infusi quassiae, gvj. 

Sig. : Use as a rectal injection. 

Indication:' Used in seat worms. 

I£ Kamalse, 3ij. 

Confectionis sennae, 3j. 

Misce. 

Sig. : To be taken at one dose after fast- 
ing for twenty-four hours. 

Indication: Used for tapeworm — no purge 
required. 

$ Olei tiglii, gtt. j. 
Chloroformi, f3j. 
Glycerini, f3viiss. 
Misce. 

Sig. : At night give a saline purge ; the fol- 
lowing morning before breakfast give the above 
mixture. 

Indication : Used in taenia. 

WOUNDS. 

Dr. Burger recommends, in the treatment of wounds such 
as usually occur in factories, that the wound be cleansed with 
a sublimate solution, after which pure balsam of Peru be 
dropped over the affected areas and gauze immersed in the bal- 
sam applied. The gauze does not adhere to the wound as oc- 
curs in dry dressings, nor does it macerate the tissues as do 
moist dressings. The dressings should be changed every two 
or three days. In this way the wounds heal quickly and are 
easily kept clean. Varicose ulcers may be treated in the same 
way with fairly good results. 

Wagner advocates the treatment of healthy granulating 
wounds by exposing them to the air. Exposure to the atmos- 
phere causes a drying of the wound which hinders the growth 



Hand-BooJc of Modern Treatment. 481 

of micro-organisms, the granulations flatten, a thin scab forms 
over the surface, and epidermidization rapidly follows. The 
application of occlusive dressings and ointments produces a 
moist wound, which facilitates the growth of bacteria. Upon 
exposure to air a wound as large as the hand may heal within 
ten days. The danger from infection from the air is trivial, 
and he has never seen it occur. 

Nugera recommends xeroform as a most valuable primary 
dressing, one that takes up all secretions and destroys the 
germs of the wound. It has been used very extensively in the 
German army. After irrigating with 1 to 1000 bichloride, 
xeroform powder is put on the wound in a thin wool bandage. 
These dressings remain until saturated by the secretions, which 
are sterilized by the xeroform. Wounds heal well and rapidly, 
big cuts and gashes healing in from two to three weeks. Most 
of the cases so treated were not seen until a few days after 
the wound was received. 

Levassort applies bicarbonate of soda directly to the wound, 
sifting it freely over and packing the cavity with aseptic gauze, 
sometimes mixing it with the gauze. He leaves this dressing for 
from fifteen to twenty days, merely drawing up a small piece of 
the gauze and cutting it off every two or three days. When the 
last of the gauze is removed the depths of the wound are found 
filled with red, almost erectile, granulations, and healing is soon 
complete. He does not drain except in abdominal surgery. The 
bicarbonate does not injure the tissues, but aids in osmosis and 
stimulates and provides a nourishing fluid for the young cells 
that develop. Their proliferation is so intense that they crowd 
out all microbian elements and grow into and transform fibrous 
cicatricial or degenerated tissues, so that it is not necessary to 
remove the latter to the extent generally believed. 

To irrigate wounds or large cavities it is always best to 
employ solutions at or slightly above the temperature of the body, 
as cold appears to interfere with the reparative action of in- 
jured tissues. 

I£ Acidi borici, 3ij. 

Aristolis, 3ij. 
Misce. 

Sig. : Use locally as dusting powder. 

31 



482 Eand-BooTc of Modern Treatment 

1$. Acetanilidi, 3ij. 

Sig. : Use as a dusting powder. 

Ifc Iodoformi, §ss. 

Sig. : Used as a dusting powder. 

I£ Europheni, 3ij. 

Sig. : Used as a dusting powder. 

I£ Formaldehydi (40 per cent, solution), f§j. 

Sig. : Ten drops in a pint of water and ap- 
ply as a wash. This solution is much too 
strong to be used about the eyes. 

I£ Hydrarg. chloridi corrosivi, gr. viiss. 
Aquae ferventis, Oij. 

Misce. 

Sig.: Solution (1-2000). Used in washing 
wounds, irrigating cavities, or on -saturated 
dressings. 

I£ Chloretone, 3ij. 

Acidi borici, 3ij. 
Sig. : Used as a dusting powder, acting as 
an efficient antiseptic dressing. 

U Collodii flexilis, 3j. 

Sig. : Used as impervious dressing on slight 
wounds. 



X-RAY BURNS. 

Burns caused by the x-rays, which are generally found to 
be so intractable, are readily cured by the following ointment, 
the dermatitis soon disappearing: — 

I£ Plumbi oxidi, 3j. 

Zinci carbonatis, 3ij. 

Glycerini, 3j. 

Olei olivse, 3ss. 

Adeps benzoatis, ad %]. 
Misce et fiat unguentum. 
Sig.: To be applied freely. 



Hand-Book of Modern Treatment. 483 

PREVENTION" OF X-RAY BURNS. 

By the use of a single coat of paraffin, the x-ray burn can 
be prevented, according to recent demonstrations. The wax is 
applied either to the skin, or by using a wax-coated paper 
screen before the light. 

ACUTE X-RAY BURNS. 

Dr. Martin F. Engman has been called on to treat several 
x-ray burns. All of them have been of the second degree or 
milder, with one exception, a burn of the back, with small 
points of deeper ulceration. Infection and ulceration were not 
factors to combat in their treatment, the indications being to 
stop the intolerable itching, assist repair, and to keep the sur- 
face aseptic, for which the following dressing seems to be won- 
derfully successful : — 

1$. Acidi borici, 3xij. 

Zinci oxidi, 3j. 

Amyli, §j. 

Bismuthi subnitratis, 5j- 

Olei olivae, §j. 

Liq. calcis, Siij- 

Adipis lanse hydrosi, §iij. 

Aquae rosse, 3xij. 
Misce. 

The powder should be well rubbed up in a mortar and the 
lanolin added. The olive-oil and lime-water are well mixed, 
then this mixture slowly added to the powder and lanolin, con- 
stantly stirring. When this is thoroughly mixed the rose-water 
is added and the whole beaten up in the mortar into a light, 
creamy paste. If there is much pruritus, 1 per cent, or 2 per 
cent, of carbolic acid can be added to the whole. 

In applying this creamy paste it should be spread on sev- 
eral thicknesses of absorbent gauze and laid over the surface, 
and a sheet of gutta-percha tissue placed over it to prevent 
evaporation. The cream paste is very cooling on account of the 
great percentage of water it contains, and acts almost as a 
lotion without the disagreeable effects. 

YELLOW FEVER.— See Fever. 



1911 



One copy del. to Cat. Div. 
DEC 28 



